US Department of Education Pre-Authorized Debit Account Brochure and Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Pre-Authorized Debit Account (PDA) Brochure and Application	Form and Instruction	Modified	Available
1845-0025 30D PDA SUPPORTING STATEMENT June 2018.docx	Supporting Statement A	Uploaded 2018-06-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
22220	Pre-Authorized Debit Account (PDA) Brochure and Application	Form and Instruction	Modified

ICR Details

OMB Control No: 1845-0025	ICR Reference No: 201803-1845-008
Status: Active	Previous ICR Reference No: 201504-1845-002
Agency/Subagency: ED/FSA	Agency Tracking No:
Title: US Department of Education Pre-Authorized Debit Account Brochure and Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/30/2018
	Date Received in OIRA: 06/14/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved	09/30/2018
Responses	1,667	0	1,600
Time Burden (Hours)	138	0	133
Cost Burden (Dollars)	0	0	0

---

Abstract: The Pre-authorized Debit Account Brochure and Application (PDA Application) serves as the means by which an individual with a defaulted federal education debt (student loan or grant overpayment) that is held by the U.S. Department of Education (ED) requests and authorizes the automatic debiting of payments toward satisfaction of the debt from the borrower's checking or savings account. The PDA Application explains the automatic debiting process and collects the individual's authorization for the automatic debiting and the bank account information needed by ED to debit the individual's account.

---

Authorizing Statute(s): US Code: 15 USC 1601 Name of Law: Consumer Credit Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 14266	04/03/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 27763	06/14/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Pre-Authorized Debit Account (PDA) Brochure and Application	N/A	1845-0025 FSA PDA App 2018 FINAL

---

ICR Summary of Burden

table that charts list of burden

	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	1,667	1,600	0	0	67	0
Annual Time Burden (Hours)	138	133	0	0	5	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request for an extension of the current information collection. There is a slight increase in respondents, +67 and hours, 5 hours. The burden estimate for the completion and submission of the application remains 5 minutes per applicant. There is no change in the required data elements of that application. The website address for additional information has been updated.

---

Annual Cost to Federal Government: $170,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/14/2018

---