Direct Loan, FFEL, Perkins and TEACH Grant Total and Permanent Disability Discharge Forms

ICR 201305-1845-001

OMB: 1845-0065

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1845-0065 201305-1845-001
Historical Active 201302-1845-003
ED/FSA 1434.15
Direct Loan, FFEL, Perkins and TEACH Grant Total and Permanent Disability Discharge Forms
Revision of a currently approved collection   No
Regular
Approved without change 06/24/2013
Retrieve Notice of Action (NOA) 05/16/2013
  Inventory as of this Action Requested Previously Approved
06/30/2016 36 Months From Approved 10/31/2015
254,800 0 78,390
127,400 0 39,195
0 0 0

The Discharge Application: Total and Permanent Disability serves as the means by which an individual who is totally and permanently disabled, as defined in section 437(a) of the Higher Education Act of 1965, as amended, applies for discharge of his or her Direct Loan, FFEL, or Perkins loan program loans, or TEACH Grant service obligation. The form collects the information that is needed by the U.S. Department of Education (the Department) to determine the individual's eligibility for discharge based on total and permanent disability. The Total and Permanent Disability Discharge: Post-Discharge Monitoring form serves as the means by which an individual who has received a total and permanent disability discharge provides the Department with information about his or her annual earnings from employment during the 3-year post-discharge monitoring period that begins on the date of discharge. The Total and Permanent Disability Discharge: Applicant Representative Designation form serves as the means by which an applicant for a total and permanent disability discharge may (1) designate a representative to act on his or her behalf in connection with the applicant's discharge request, (2) change a previously designated representative, or (3) revode a previous designation of a representative.

US Code: 20 USC 1087(a) Name of Law: Higher Education Act of 1965, as amended
  
None

Not associated with rulemaking
Other Documents for OIRA Review

  78 FR 14083 03/04/2013
78 FR 28810 05/16/2013
No

1
IC Title Form No. Form Name
Direct Loan, FFEL, Perkins and TEACH Grant Total and Permanent Disability Discharge Forms 1845-0065, 1845-0065, 1845-0065

  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 254,800 78,390 0 176,410 0 0
Annual Time Burden (Hours) 127,400 39,195 0 88,205 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
There is an increase in burden associated with the creation of two new forms (Total and Permanent Disability Discharge: Post-Discharge Monitoring, and Total and Permanent Disability Discharge: Applicant Representative Designation) that are required as a result of final regulations published on November 1, 2012 (77 FR 66088).

$0
No
No
No
No
No
Uncollected
Jon Utz 202 377-4040

  No

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.
05/16/2013


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