State Affected Party Information

Health Education Assistance Loan (HEAL) Program Regs.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0125 can be found here:

Documents and Forms

Document Name Document Type
State Affected Party Information 1845-0125.doc Other-State Affected Party Informati

Information Collection (IC) Details

IC Title:	State Affected Party Information	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-State Affected Party Information			State Affected Party Information 1845-0125.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	119,290	-214	119,504
Annual IC Time Burden (Hours)	22,136	2,219	19,917
Annual IC Cost Burden (Dollars)	0	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.