HEAL Request for Collection Assistance Form (Form 513)

Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form

OMB: 1845-0127

IC ID: 6323

Information Collection (IC) Details

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HEAL Request for Collection Assistance Form (Form 513)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 60.35

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA 513 Form HEAL form 513 Draft 2020.docx Yes Yes Fillable Fileable

Education Higher Education

Health Education Assistance Loan   83 FR 40264

4 0
   
Private Sector Businesses or other for-profits
 
   92 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 221 0 0 -4,117 0 4,338
Annual IC Time Burden (Hours) 38 0 0 -699 0 737
Annual IC Cost Burden (Dollars) 553 0 0 518 0 35

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