Information Collection

Third Party Servicer Data Form

IC 213000 under ICR 201710-1845-002 · OMB 1845-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0130 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Third Party Servicer Data Form	Form and Instruction
Third Party Servicer Data Form Third Party Servicer Data Form Revisions OMB Approval Needed.pdf	Form and Instruction

IC Title:

Third Party Servicer Data Form

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 668.82 34 CFR 668.25

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	Third Party Servicer Data Form	Third Party Servicer Data Form Revisions OMB Approval Needed.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 48

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	48	-2	50
Annual IC Time Burden (Hours)	22	-3	25
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.