Information Collection

Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge

IC 216709 under ICR 201806-1845-002 · OMB 1845-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge	Form and Instruction
Attestation Heald 1845-0132_HealdAttestationForm_2018.04.30_RE.pdf	Form and Instruction
Visually Impaired User Form Updated Heald Attestation 3-12-18 with OMB control number.docx	Form and Instruction
Heald_Program_List.pdf List of Heald College Programs and Enrollment Dates Covered by Department of Education Findings	IC Document

IC Title:

Heald College Attestation/Application for Borrower Defense to Repayment Loan Discharge

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	Attestation Heald	1845-0132_HealdAttestationForm_2018.04.30_RE.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Visually Impaired User Form	Updated Heald Attestation 3-12-18 with OMB control number.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Customer Engagement Management System

FR Citation: 83 FR 114

Number of Respondents: 50,000

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	50,000	50,000
Annual IC Time Burden (Hours)	50,000	50,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
List of Heald College Programs and Enrollment Dates Covered by Department of Education Findings	Heald_Program_List.pdf	06/05/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.