Application for Debt Education Course Provider

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0085 can be found here:

Documents and Forms

Document Name Document Type
Form XXXX Application for Debt Education Course Provider Form
1105-0085 DE Instructions (final rule)_080713.doc Instruction
1105-0085 DE Supplemental Instructions for Universities and Colleges (final rule)_080713.doc Other-Supplemental Document
XXXX DE Appendix A 1105-0085 DE Appendix A (final rule)_080713.doc Form
XXXX DE Appendix B 1105-0085 DE Appendix B (final rule)_080713.doc Form
XXXX DE Appendix C 1105-0085 DE Appendix C (final rule)_080713.doc Form
XXXX DE Appendix D 1105-0085 DE Appendix D (final rule)_080713.doc Form
XXXX DE Appendix E 1105-0085 DE Appendix E (final rule)_080713.doc Form
XXXX DE Application 1105-0085 DE Application (final rule)_080713.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Debt Education Course Provider	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 1320.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	XXXX	DE Appendix A	1105-0085 DE Appendix A (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Form	XXXX	DE Appendix B	1105-0085 DE Appendix B (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Form	XXXX	DE Appendix C	1105-0085 DE Appendix C (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Form	XXXX	DE Appendix D	1105-0085 DE Appendix D (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Form	XXXX	DE Appendix E	1105-0085 DE Appendix E (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Form	XXXX	DE Application	1105-0085 DE Application (final rule)_080713.doc	Yes	Yes	Fillable Fileable Signable
Instruction			1105-0085 DE Instructions (final rule)_080713.doc	Yes	No	Printable Only
Other-Supplemental Document			1105-0085 DE Supplemental Instructions for Universities and Colleges (final rule)_080713.doc	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 275	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,368,725	1,368,450	275
Annual IC Time Burden (Hours)	24,076	0	24,076
Annual IC Cost Burden (Dollars)	13,750	0	13,750

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.