Information Collection

Application for Borrower Defense to Loan Repayment

IC 222080 under ICR 201606-1845-014 · OMB 1845-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Borrower Defense to Loan Repayment	Form and Instruction
Application for Borrower Defense to Loan Repayment Universal Form - Final sent to ICCD 12.7.16.docx	Form and Instruction

IC Title:

Application for Borrower Defense to Loan Repayment

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	Application for Borrower Defense to Loan Repayment	Universal Form - Final sent to ICCD 12.7.16.docx		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 177

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	10,000	10,000
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.