Information Collection

Application for Debt Education Course Provider

IC 11783 under ICR 201308-1105-002 · OMB 1105-0085.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.