Information Collection

Third Party Authorization Form

IC 248983 under ICR 202108-1845-006 · OMB 1845-0165.

Documents and Forms

Document Name Document Type
Third Party Authorization Form Form and Instruction
1845_0XXX_TPA_30 Day based on comment edits 02.18.2022.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Third Party Authorization Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	N/A	N/A	1845_0XXX_TPA_30 Day based on comment edits 02.18.2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Common Services for Borrowers	FR Citation: 81 FR 171

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	100,000	100,000
Annual IC Cost Burden (Dollars)	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.