Information Collection

Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form

IC 207947 under ICR 201402-1845-005 · OMB 1845-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0120 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1845-0000 Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form	Form and Instruction
1845-0000 Financial Disclosure for Reasonable and Affordable Rehab FED_REG_FINANCIAL_DISCLOSURE_FORM[1].docx	Form and Instruction

IC Title:

Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form

Agency IC Tracking Number:

1981.02

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 685.211 34 CFR 682.405

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	1845-0000	Financial Disclosure for Reasonable and Affordable Rehabilitation Payments	FED_REG_FINANCIAL_DISCLOSURE_FORM[1].docx		Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrowers

FR Citation: 71 FR 3503

Number of Respondents: 35,282

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,282	35,282
Annual IC Time Burden (Hours)	35,282	35,282
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.