Information Collection

DOD Education Loan Repayment Program

IC 5264 under ICR 202108-0704-004 · OMB 0704-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0152 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD Form 2475 DOD Education Loan Repayment Program	Form and Instruction
DD Form 2475 DOD Education Loan Repayment Program (LRP) Annual Applic DD2475 DRAFT 20210907.pdf	Form and Instruction
DD Form 2475 DOD Education Loan Repayment Program (LRP) Annual Applic DD2475 DRAFT 20210907.pdf	Form and Instruction

IC Title:

DOD Education Loan Repayment Program

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:

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	DD Form 2475	DOD Education Loan Repayment Program (LRP) Annual Application	DD2475 DRAFT 20210907.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	44,000	44,000
Annual IC Time Burden (Hours)	7,333	7,333
Annual IC Cost Burden (Dollars)	88,000	88,000

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.