Health Education Assistance Loan (HEAL)

ICR 201512-1845-006

OMB: 1845-0126

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supporting Statement A
2016-02-22
ICR Details
1845-0126 201512-1845-006
Historical Active 201406-1845-017
ED/FSA
Health Education Assistance Loan (HEAL)
Extension without change of a currently approved collection   No
Regular
Approved without change 04/11/2016
Retrieve Notice of Action (NOA) 02/22/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 04/30/2016
390 0 410
205 0 220
0 0 0

Section 525 of the Consolidated Appropriations Act of 2014 transferred the collection of HEAL program loans from the U.S. Department of Health and Human Services (HHS) to the U.S. Department of Education (Department). The pertinent information collections were transferred from HHS to the Department and the forms were updated with new contact information and numbers. This is a request for an extension of the information collection for forms HEAL 502-1 and 502-2, HEAL repayment schedules and form HEAL 512, Holder's Report on HEAL program loans. The forms 502-1 and 502-2 provide the borrowers with any updated repayment schedule including the cost of the loan, number and amount of payments with Truth-in-Lending disclosures. The form 512 is prepared quarterly and provides information on the status of outstanding loans such as the number of borrowers by stage of loan life-cycle, repayment status and the corresponding dollars.

US Code: 42 USC 60.34(b)(1)(2) Name of Law: HEAL Regulations
   US Code: 42 USC 705 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  80 FR 79312 12/21/2015
81 FR 8701 02/22/2016
No

2
IC Title Form No. Form Name
Repayment Schedules Forms 502-1 and 502-2 NA, NA 502-1 ,   502-2
Holder's Report on Health Education Assistance Loans HEAL Form 512 NA 512

  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 390 410 0 0 -20 0
Annual Time Burden (Hours) 205 220 0 0 -15 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
We are requesting an extension of the current collection with a decrease in burden hours of -15 due to a decrease in the number of holders required to file HEAL 512 which causes a decrease in the burden hours previously reported.

$0
No
No
No
No
No
Uncollected
Beth Grebeldinger 202 708-8242

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/22/2016


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