Information Collection

Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge

IC 216709 under ICR 201505-1845-004 · OMB 1845-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge	Form and Instruction
Attestation Heald Heald_Attestation_Form.pdf	Form and Instruction
Heald_Program_List.pdf List of Heald College Programs and Enrollment Dates Covered by Department of Education Findings	IC Document

IC Title:

Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge

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	Attestation Heald	Heald_Attestation_Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrowers

FR Citation: 79 FR 54685

Number of Respondents: 50,000

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	50,000	50,000
Annual IC Time Burden (Hours)	50,000	50,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
List of Heald College Programs and Enrollment Dates Covered by Department of Education Findings	Heald_Program_List.pdf	06/05/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.