Information Collection

Teacher Loan Forgiveness Application

IC 183714 under ICR 201704-1845-003 · OMB 1845-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0059 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1845-0059 Teacher Loan Forgiveness Application	Form and Instruction
1845-0059 Teacher Loan Forgiveness Application 1845-0059 TLF App 1845-0059 30 day changes 20170628.pdf	Form and Instruction
1845-0059 Teacher Loan Forgiveness Forbearance Request 1845-0059 TLF Forb 1845-0059 30-day changes 20170628.pdf	Form and Instruction

IC Title:

Teacher Loan Forgiveness Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 685.216 34 CFR 685.217

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	1845-0059	Teacher Loan Forgiveness Application	1845-0059 TLF App 1845-0059 30 day changes 20170628.pdf		Yes	No	Printable Only
Form and Instruction	1845-0059	Teacher Loan Forgiveness Forbearance Request	1845-0059 TLF Forb 1845-0059 30-day changes 20170628.pdf		Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common services for Borrowers

FR Citation: 71 FR 3503

Number of Respondents: 8,000

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	Previously Approved
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	2,640	2,640
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.