Financial Disclosure for Reasonable and Affordable Rehabilitation Payments Form

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.