Borrower Deferment Request (HEAL Form 508)

Health Education Assistance Loan (HEAL) Program: Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0128 can be found here:

Documents and Forms

Document Name Document Type
Borrower Deferment Request (HEAL Form 508) Form and Instruction
HEAL form 508 FINAL clean HEAL form 508 60 day notice version 20181218.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Borrower Deferment Request (HEAL Form 508)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	HEAL form 508	FINAL clean HEAL form 508 60 day notice version 20181218.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-78	88
Annual IC Time Burden (Hours)	2	-9	11
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.