Forbearance Form

Forbearance Request for National Service Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3045-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Forbearance Form Form and Instruction
1 Forbearance Form 2016 Forbearance with AC watermark - May 23 2016 - FINAL aw - OGC Edit.docx www.nationalservice.gov Form and Instruction
1 2019 Forbearance 2016 Forbearance with AC watermark 20191226.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Forbearance Form	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	1	2019 Forbearance	2016 Forbearance with AC watermark 20191226.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable
Form and Instruction	1	Forbearance Form	2016 Forbearance with AC watermark - May 23 2016 - FINAL aw - OGC Edit.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	11,000	-58,300	69,300
Annual IC Time Burden (Hours)	1,833	-3,942	5,775
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.