XXXX ASLRP Initial Request Organization Input Part 3

OMB Number 1105-0086. Expires 11/30/2013

Attorney Student Loan Repayment Program (2013)

Organization Input - New Requests

Part 3:

Position and Attorney Information Verification.

(For Department use).

Information in Part 3 must be provided by the component or office (or equivalent) HR staff.

1

Attorney's Name
Component/Office
Annual Base Salary (as of
December 31, 2012) (Do not include
locality pay.) Verify Part 1, block 5

$

Attorney's Job Title
Date attorney entered on
duty (or scheduled to enter

on duty):
2a

Is attorney a prior ASLRP
recipient? Review Part 1,

Please note that if after September 30, 2013,
the Program Administration Panel must grant
an exception to policy. Please highlight this
requirement in a forwarding endorsement to
OARM.

YES

mm/dd/yy

Enter date current service obligation expires
and continue to question 3.

block 4b.
NO
Answer question 2b, below.

2b Does attorney claim at least
$10,000 of current federal
student loan debt? (This is not

YES

Continue to process request.

NO

Attorney is ineligible. Do not process request.
Notify attorney.

applicable to prior ASLRP
recipients).

3

VERIFICATION STEP
Is the request accurate? You
must verify the attorney's base
salary, EOD, office of assignment,
etc.
If the packets are not complete,
return to the attorney for corrective
action.
If you return the packets to the
attorney for correction, advise
the attorney that late
submissions to OARM will not
be accepted.

Once you confirm accuracy, verify that the OARM
packet is complete.
• One copy of Part 1 (Attorney and Loan
Information)
• Tab A: One copy of each lender's
statement (or a clearly annotated
consolidated statement) and other relevant
financial information.
• Tab B: Signed Service Agreement
• Tab C: If submitted - this is optional.
• Part 2 (Justification) Six copies with a
resume attached to each.
Verify that the component packet is complete.

1

Attorney Student Loan Repayment Program (2013)

Organization Input
•

One copy of the following:
- Part 1
- Part 2 with attached resume
- Service Agreement

4

Is the attorney serving (or
being hired to serve) in a
permanent or qualifying non-

permanent appointment
5

6

7

List any misconduct,
performance or disciplinary
issues that may render the
attorney ineligible for this
program within the past 3
years. If none, so state.
Was the attorney's last
evaluation at least at the Fully
Successful level under Part 430
of Title 5, CFR, or a similar
level of performance under
another applicable performance
management system.

Attorneys holding term appointments with less
than three years remaining before expiration are
not eligible. New hires holding 14-month
temporary appointments leading to permanent
pending adjudication of background
investigations are eligible.

YES
NO

YES
Continue to process request.
NO Do not process this request.
Notify attorney of ineligibility for ASLRP
N/A Attorney is newly hired and has not yet qualified
for a rating or has not entered on duty. Continue to
process request.

Review of Attorney's Justification (Part 2)
Does attorney base all or part of
Part 2, Item 2 on a specific
component-identified qualification
or criteria listed in Appendix A for
2013?

YES

Does component concur that
attorney meets componentidentified qualification or
criteria listed in Appendix A?

YES
NO

NO

8

Is the attorney a prior ASLRP participant?
IF a prior ASLRP recipient, is the attorney performing the last year of his/her service
obligation between June 2012 - July 2013?

YES

NO

If performing a current service obligation, was the attorney in a leave without pay
status or in any other non-pay status between June 2012 - July 2013?

YES

NO

If “yes”, was the absence due to uniformed service or compensable injury?

YES

NO

If “yes,” ensure a copy of orders or other documentation is attached. No extension of
the current service obligation is required. If “no,” list the dates of absences below,
then correct component records to extend the existing service obligation completion
date by the total amount spent in a non-pay status.

9

HR Representative
(Person completing Part 3)

10

Telephone

Name
E-mail

Print this document. Attach it to the OARM Copy of the Request Packet and
forward it to the component Executive Officer (or equivalent) (or delegate) for
completion of Part 4 and further processing.

2