Health Education Assistance Loan (HEAL)

Forms and Documents

Document Name	Status
Holder's Report on Health Education Assistance Loans HEAL Form 512 Form and Instruction	Modified
Repayment Schedules Forms 502-1 and 502-2 Form and Instruction	Modified
1845-0126 Supporting Statment 30 day comment 20190402 FINAL.docx Supporting Statement A	2019-04-08

IC Document Collections

IC ID	Document Title	Status
6327	Holder's Report on Health Education Assistance Loans HEAL Form 512 Form and Instruction	Modified
45766	Repayment Schedules Forms 502-1 and 502-2 Form and Instruction	Modified

ICR Details

OMB Control No: 1845-0126	ICR Reference No: 201901-1845-001
Status: Active	Previous ICR Reference No: 201512-1845-006
Agency/Subagency: ED/FSA	Agency Tracking No:
Title: Health Education Assistance Loan (HEAL)
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: 06/03/2019
	Date Received in OIRA: 04/08/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved	05/31/2019
Responses	5,491	0	390
Time Burden (Hours)	2,758	0	205
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request for an extension of the information collection for forms HEAL 502-1 and 502-2, HEAL repayment schedules and form HEAL 512, Holder's Report on HEAL program loans. The forms 502-1 and 502-2 provide the borrowers with any updated repayment schedule including the cost of the loan, number and amount of payments with Truth-in-Lending disclosures. The form 512 is prepared quarterly and provides information on the status of outstanding loans such as the number of borrowers by stage of loan life-cycle, repayment status and the corresponding dollars.

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Authorizing Statute(s): PL: Pub.L. 113 - 76 525 Name of Law: Consolidated Appropriations Act, 2014
  

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:
	84 FR 685	01/31/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 13645	04/05/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Repayment Schedules Forms 502-1 and 502-2	NA, NA	502-1 ,   502-2
Holder's Report on Health Education Assistance Loans HEAL Form 512	NA	512

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ICR Summary 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	5,491	390	0	0	5,101	0
Annual Time Burden (Hours)	2,758	205	0	0	2,553	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: We are requesting an extension of the information collection 1845-0126, with an increase to 2,758 hours and 5,491 responses due to adjustments to the number of users and responses received from them.

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Annual Cost to Federal Government: $0

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: 04/08/2019

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