Information Collection

Reaffirmation Agreement

IC 216093 under ICR 201501-1845-001 · OMB 1845-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0133 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Reaffirmation Agreement	Form and Instruction
Reaffirmation Agreement 1845-XXXX_REA_20150601_Clean.docx	Form and Instruction

IC Title:

Reaffirmation Agreement

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	Reaffirmation Agreement	1845-XXXX_REA_20150601_Clean.docx		Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Service for Borrowers

FR Citation: 79 FR 54685

Number of Respondents: 1,879

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	4,965	4,965
Annual IC Time Burden (Hours)	794	794
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.