Individual Affected Party Information

Health Education Assistance Loan (HEAL) Program Regs.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0125 can be found here:

Documents and Forms

Document Name Document Type
Individual Affected Party Information 1845-0125 FINAL.doc Other-Individual Affected Party Info

Information Collection (IC) Details

IC Title:	Individual Affected Party Information	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
Other-Individual Affected Party Information			Individual Affected Party Information 1845-0125 FINAL.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,593	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,593	-15,047	25,640
Annual IC Time Burden (Hours)	1,801	-2,472	4,273
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.