Forbearance Request for National Service Form

ICR 201909-3045-004

OMB: 3045-0030

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-09-17
Supporting Statement A
2020-01-06
IC Document Collections
IC ID
Document
Title
Status
198535 Modified
ICR Details
3045-0030 201909-3045-004
Active 201606-3045-001
CNCS
Forbearance Request for National Service Form
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 01/10/2020
Retrieve Notice of Action (NOA) 09/17/2019
Agency updated the Supporting Statement to include additional information and updated the ROCIS table
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved
11,000 0 0
1,833 0 0
0 0 0

This form, or its electronic equivalent, is used by AmeriCorps members to request a forbearance based on national service, and by schools and lenders to verify eligibility for the forbearance, and by both parties to verify certain legal requirements.

US Code: 42 USC 12602-12604 Name of Law: National and Community Service Act, as amended
  
None

Not associated with rulemaking

  84 FR 27095 06/11/2019
84 FR 47938 09/11/2019
No

1
IC Title Form No. Form Name
Forbearance Form 1, 1 2019 Forbearance ,   Forbearance Form

  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 11,000 0 0 0 -58,300 69,300
Annual Time Burden (Hours) 1,833 0 0 0 -3,942 5,775
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The burden has changed to align with actual use.

$1,837
No
    Yes
    Yes
No
No
No
Uncollected
Amy Borgstrom 202 606-6930 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/17/2019


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