Information Collection

Third Party Servicer Data Form

IC 212998 under ICR 202009-1845-001 · OMB 1845-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0130 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Third Party Servicer Data Form	Form and Instruction
Third Party Servicer Data Form Third Party Servicer Data Form for OMB Approval Sept 2020.pdf	Form and Instruction
Third Party Servicer Data Form Third Party Servicer Data Form for OMB Approval Sept 2020.pdf	Form and Instruction

IC Title:

Third Party Servicer Data 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: 34 CFR 668.25 34 CFR 668.82

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	Third Party Servicer Data Form	Third Party Servicer Data Form for OMB Approval Sept 2020.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	85	-152	237
Annual IC Time Burden (Hours)	48	-236	284
Annual IC Cost Burden (Dollars)	0	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.