Forbearance Request for National Service Form

ICR 201606-3045-001

OMB: 3045-0030

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Removed
Form and Instruction
Modified
Supporting Statement A
2016-06-03
IC Document Collections
ICR Details
3045-0030 201606-3045-001
Historical Active 201302-3045-003
CNCS
Forbearance Request for National Service Form
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 08/15/2016
Retrieve Notice of Action (NOA) 06/03/2016
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 03/31/2016
69,300 0 3,800
5,775 0 63
0 0 0

This form, or its electronic equivalent, is used by AmeriCorps members to request a forbearance based on national service, and by schools and lenders to verify eligibility for the forbearance, and by both parties to verify certain legal requirements.

US Code: 42 USC 12602-12604 Name of Law: National and Community Service Act, as amended
  
None

Not associated with rulemaking

  81 FR 12719 03/10/2016
81 FR 35346 06/02/2016
No

1
IC Title Form No. Form Name
Forbearance Form--Institution Section 2 Forbearance Form--Institution Section
Forbearance Form 1 Forbearance Form

  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 69,300 3,800 0 61,700 0 3,800
Annual Time Burden (Hours) 5,775 63 0 5,142 0 570
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The burden has changed to reflect actual time spent completing the form.

No
No
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 [email protected]

  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.
06/03/2016


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