Information Collection

Loan Discharge Application: False Certification (Ability to Benefit)

IC 186198 under ICR 201310-1845-008 · OMB 1845-0015.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Loan Discharge Application : False Certification (Ability to Benefit) Loan Discharge Application: False Certification (Ability to Benefit)	Form and Instruction
Loan Discharge Application : False Certification (Abilit 1845-0015_FC-ATB_30-day_10142011_(2).doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A				No	No	Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Title IV Program Files

FR Citation: 64 FR 30163

Number of Respondents: 3,715

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	Previously Approved
Annual Number of Responses for this IC	3,715	3,715
Annual IC Time Burden (Hours)	1,858	1,858
Annual IC Cost Burden (Dollars)	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.

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