Information Collection

Loan Discharge Application: Unpaid Refund

IC 22313 under ICR 202004-1845-003 · OMB 1845-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0058 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Loan Discharge Application: Unpaid Refund	Form and Instruction
Unpaid Refund 1845-0058 UR.pdf	Form and Instruction

IC Title:

Loan Discharge Application: Unpaid Refund

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 682 and 685

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Unpaid Refund	1845-0058 UR.pdf		Yes	No	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrower (CSB) System

FR Citation: 81 FR 60683

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.