Attorney Student Loan Repayment Program Electronic Forms

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.