US Department of Education Pre-Authorized Debit Account Brochure and Application

ICR 201208-1845-002

OMB: 1845-0025

Federal Form Document

Forms and Documents
Form and Instruction
Supporting Statement A
IC Document Collections
ICR Details
1845-0025 201208-1845-002
Historical Active 200906-1845-003
ED/FSA 4879
US Department of Education Pre-Authorized Debit Account Brochure and Application
Extension without change of a currently approved collection   No
Approved without change 11/01/2012
Retrieve Notice of Action (NOA) 08/29/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 10/31/2012
1,600 0 1,600
133 0 133
0 0 0

The Preauthorized Debit Account Brochure and Application (PDA Application) serves as the means by which an individual with a defaulted federal education debt (student loan or grant overpayment) that is held by the U.S. Department of Education (ED) requests and authorizes the automatic debiting of payments toward satisfaction of the debt from the borrower's checking or savings account. The PDA Application explains the automatic debiting process and collects the individual's authorization for the automatic debiting and the bank account information needed by ED to debit the individual's account.

US Code: 15 USC 1601 Name of Law: Consumer Credit Protection Act

Not associated with rulemaking

  77 FR 37892 06/25/2012
77 FR 52319 08/29/2012

IC Title Form No. Form Name
Electronic Debit Payment Option for Student Loans N/A PDA Application and Brochure

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,600 1,600 0 0 0 0
Annual Time Burden (Hours) 133 133 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Jon Utz 202 377-4040


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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