DOD Education Loan Repayment Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DD Form 2475 DOD Education Loan Repayment Program	Form and Instruction	Modified	Available
0704-0152_SSA_9.21.2018.docx	Supporting Statement A	Uploaded 2018-09-24	Available
0704-0152_PIA_9.12.2018.pdf	Supplementary Document	Uploaded 2018-09-21	Available
SIGNED Memorandum for Record SSNs DD 2475.PDF	Supplementary Document	Uploaded 2018-09-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5264	DOD Education Loan Repayment Program	Form and Instruction	Modified

ICR Details

OMB Control No: 0704-0152	ICR Reference No: 201809-0704-004
Status: Active	Previous ICR Reference No: 201311-0704-006
Agency/Subagency: DOD/DODDEP	Agency Tracking No:
Title: DOD Education Loan Repayment Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/29/2018
	Date Received in OIRA: 09/27/2018
Terms of Clearance: This collection must be reported as part of the Department's submission under the Information Collection Budget.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved
Responses	44,000	0	0
Time Burden (Hours)	7,333	0	0
Cost Burden (Dollars)	88,000	0	0

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Abstract: This information collection requirement is necessary because the Military Services are authorized to repay student loans for individuals who meet certain criteria and who enlist for active military service or who enter Reserve service for a specific obligated period. Applicants who qualify for the program forward the DD Form 2475, "DOD Loan Repayment Program (LRP) Annual Application," to their Military Service Personnel Office for processing. The Military Service Personnel Office verifies the information and fills in the loan repayment date, address, and phone number. For the Reserve Components, the Military Service Personnel Office forwards the DD Form 2475 to the lending institution. For active-duty Service, the Service mails the form to the lending institution. The lending institution confirms the loan status and certification and mails the form back to the Military Service Personnel Office.

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Authorizing Statute(s): US Code: 10 USC 2173 Name of Law: Education Loan Repayment Program: Commissioned Officers in Specified Health Professions
   US Code: 10 USC 16301 Name of Law: Education Loan Repayment Program: Members of Selected Reserve
   US Code: 10 USC 16302 Name of Law: Education Loan Repayment Program: Health Professions Officers Serving in Selected Reserve with War
   US Code: 10 USC 2171 Name of Law: Education Loan Repayment Program: Enlisted Members on Active Duty in Specified Military Specialties
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 30704	06/29/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 48295	09/24/2018
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
DOD Education Loan Repayment Program	DD Form 2475	DOD Education Loan Repayment Program (LRP) Annual Application

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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	44,000	0	0	0	21,609	22,391
Annual Time Burden (Hours)	7,333	0	0	0	3,601	3,732
Annual Cost Burden (Dollars)	88,000	0	0	0	18,588	69,412

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 reinstatement with change to an expired collection. A three-year expiration date extension is requested for the form. The burden is increasing to more accurately reflect the number of respondents who fill out the form in any given year. No other changes are noted or requested for the form.

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Annual Cost to Federal Government: $88,029

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

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Common Form ICR:  No

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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: 09/27/2018

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