Information Collection

Repayment Schedules Forms 502-1 and 502-2

IC 45766 under ICR 202202-1845-002 · OMB 1845-0126.

Documents and Forms

Document Name Document Type
Repayment Schedules Forms 502-1 and 502-2 Form and Instruction
502-1 HEAL form 502-1 60 day comment FINAL 2022.pdf Form and Instruction
502-1 HEAL form 502-1 60 day comment FINAL 2022.pdf Form and Instruction
502-2 HEAL form 502-2 60 day comment FINAL 2022.pdf Form and Instruction
502-2 HEAL form 502-2 60 day comment FINAL 2022.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Repayment Schedules Forms 502-1 and 502-2	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	502-1	HEAL form 502-1 60 day comment FINAL 2022.pdf		No		Fillable Printable
Form and Instruction	NA	502-2	HEAL form 502-2 60 day comment FINAL 2022.pdf		No		Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: 18-11-20 Health Education Assistance Loan (HEAL) Program	FR Citation: 83 FR 157

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	130	-5,313	5,443
Annual IC Time Burden (Hours)	65	-2,657	2,722
Annual IC Cost Burden (Dollars)	0	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.