Information Collection

Application and Employment Certification for Public Service Loan Forgiveness Forms

IC 198201 under ICR 201612-1845-006 · OMB 1845-0110.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0110 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application and Employment Certification for Public Service Loan Forgiveness Forms	Form and Instruction
1845-0110 PSLF ECF 1845-0110_PSLF_ECF_Final.pdf studentaid.ed.gov/publicservice	Form and Instruction
1845-0110 PSLF APP 1845-0110_PSLF_APP_Final.pdf studentaid.ed.gov/publicservice	Form and Instruction
1845-0110 PSLF Core 1845-0110_PSLF_Core v2.pdf studentaid.ed.gov/publicservice	Form and Instruction

IC Title:

Application and Employment Certification for Public Service Loan Forgiveness Forms

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	N/A	1845-0110 PSLF APP	1845-0110_PSLF_APP_Final.pdf	https://studentaid.ed.gov/publicservice	Yes	No	Printable Only
Form and Instruction	N/A	1845-0110 PSLF ECF	1845-0110_PSLF_ECF_Final.pdf	https://studentaid.ed.gov/publicservice	Yes	No	Printable Only
Form and Instruction	N/A	1845-0110 PSLF Core	1845-0110_PSLF_Core v2.pdf	https://studentaid.ed.gov/publicservice	Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrowers

FR Citation: 75 FR 59242

Number of Respondents: 728,419

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	728,419	605,523	122,896
Annual IC Time Burden (Hours)	364,210	302,762	61,448
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.