Information Collection

Holder's Report on Health Education Assistance Loans HEAL Form 512

IC 6327 under ICR 201512-1845-006 · OMB 1845-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0126 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Holder's Report on Health Education Assistance Loans HEAL Form 512	Form and Instruction
512 HEAL form 512 60 day comment.docm	Form and Instruction

IC Title:

Holder's Report on Health Education Assistance Loans HEAL Form 512

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	NA	512	HEAL form 512 60 day comment.docm		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Health Education Program

FR Citation: 79 FR 123

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40	-20	60
Annual IC Time Burden (Hours)	30	-15	45
Annual IC Cost Burden (Dollars)	0	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.