Information Collection

Attorney Student Loan Repayment Program Electronic Forms

IC 179346 under ICR 201310-1105-001 · OMB 1105-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form XXXX Attorney Student Loan Repayment Program Electronic Forms	Form and Instruction
XXXX ASLRP Service Agreement 1105-0086 ASLRP Service Agreement_111913.pdf	Form
XXXX ASLRP Loan Information Continuation Form 1105-0086 ASLRP Loan Info Continuation Form_111913.pdf	Form
XXXX ASLRP Renewal of Incentive Form 1105-0086 ASLRP Renewal Of Incentive Form_111913.pdf	Form and Instruction
XXXX ASLRP Renewal Request Organiation Input Part 3 1105-0086 ASLRP Renewal Request Organization Input Part 3_111913.pdf	Form and Instruction
XXXX ASLRP Initial Request Organization Input Part 3 1105-0086_ASLRP Initial Request Organization Input Part 3_111913.pdf	Form and Instruction
XXXX ASLRP Request for Consideration Form 1105-0086_ASLRP Request for Consideration Form_111913.pdf	Form and Instruction
XXXX ASLRP Initial Request Organization Input Part 4 (Validat 1105-0086 ASLRP Initial Request Organization Input Part 4 (Validation)_111913.pdf	Form and Instruction
XXXX ASLRP Renewal of Incentive Form 1105-0086 ASLRP Renewal Of Incentive Form_111913.pdf	Form and Instruction

IC Title:

Attorney Student Loan Repayment Program Electronic Forms

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 Part 537 (To search for a specific CFR, visit the Code of Federal Regulations.)

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 and Instruction	XXXX	ASLRP Renewal of Incentive Form	1105-0086 ASLRP Renewal Of Incentive Form_111913.pdf	Yes	No	Fillable Printable
Form	XXXX	ASLRP Service Agreement	1105-0086 ASLRP Service Agreement_111913.pdf	Yes	No	Fillable Printable
Form	XXXX	ASLRP Loan Information Continuation Form	1105-0086 ASLRP Loan Info Continuation Form_111913.pdf	Yes	No	Fillable Printable
Form and Instruction	XXXX	ASLRP Renewal of Incentive Form	1105-0086 ASLRP Renewal Of Incentive Form_111913.pdf	Yes	No	Fillable Printable
Form and Instruction	XXXX	ASLRP Renewal Request Organiation Input Part 3	1105-0086 ASLRP Renewal Request Organization Input Part 3_111913.pdf	Yes	No	Fillable Fileable
Form and Instruction	XXXX	ASLRP Initial Request Organization Input Part 3	1105-0086_ASLRP Initial Request Organization Input Part 3_111913.pdf	Yes	No	Fillable Printable
Form and Instruction	XXXX	ASLRP Request for Consideration Form	1105-0086_ASLRP Request for Consideration Form_111913.pdf	Yes	No	Fillable Printable
Form and Instruction	XXXX	ASLRP Initial Request Organization Input Part 4 (Validation)	1105-0086 ASLRP Initial Request Organization Input Part 4 (Validation)_111913.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: JMD-024 , Attorney Student Loan Repayment Program Applicant Files

FR Citation: 71 FR 64740

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-455	475
Annual IC Time Burden (Hours)	20	-305	325
Annual IC Cost Burden (Dollars)	0	0	0

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.