DOD Education Loan Repayment Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 2475 DOD Education Loan Repayment Program	Form	Modified	Available
OMB 0152 SSN Justification Approval.pdf	Supplementary Document	Uploaded 2013-11-20	Available
OMB 0152 (DD 2475) AF SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) MC SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) Navy SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
OMB 0152 (DD 2475) Army SORN.pdf	Supplementary Document	Uploaded 2011-10-31	Available
Supporting Statement FINAL.doc	Supporting Statement A	Uploaded 2013-11-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5264	DOD Education Loan Repayment Program	Form	Modified

ICR Details

OMB Control No: 0704-0152	ICR Reference No: 201311-0704-006
Status: Historical Active	Previous ICR Reference No: 201110-0704-004
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: DOD Education Loan Repayment Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/08/2014
	Date Received in OIRA: 11/22/2013
Terms of Clearance: This collection is approved based on the revised materials provided by the Department.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	36 Months From Approved	01/31/2014
Responses	22,391	0	17,500
Time Burden (Hours)	3,732	0	2,917
Cost Burden (Dollars)	69,412	0	46,550

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Abstract: This information collection requirement is necessary because the Military Services are authorized to repay student loans for individuals who meet certain criteria and who enlist for active military service or who enter Reserve service for a specific obligated period. Applicants who qualify for the program forward the DD Form 2475, "DOD Loan Repayment Program (LRP) Annual Application," to their Military Service Personnel Office for processing. The Military Service Personnel Office verifies the information and fills in the loan repayment date, address, and phone number. For the Reserve Components, the Military Service Personnel Office forwards the DD Form 2475 to the lending institution. For active-duty Service, the Service mails the form to the lending institution. The lending institution confirms the loan status and certification and mails the form back to the Military Service Personnel Office.

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Authorizing Statute(s): US Code: 10 USC 2171 Name of Law: null
   US Code: 10 USC 2173 Name of Law: null
   US Code: 10 USC 16301 Name of Law: null
   US Code: 10 USC 16302 Name of Law: null
   PL: Pub.L. 109 - 163 537 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 28579	05/15/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 69391	11/19/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
DOD Education Loan Repayment Program	DD Form 2475	DOD Education Loan Repayment Program

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,391	17,500	0	0	4,891	0
Annual Time Burden (Hours)	3,732	2,917	0	0	815	0
Annual Cost Burden (Dollars)	69,412	46,550	0	0	22,862	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: An adjustment was made to accurately reflect the number of responses received.

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Annual Cost to Federal Government: $86,429

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/22/2013

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