Information Collection

Repayment Schedules Forms 502-1 and 502-2

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	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 %

table that charts list of burden
	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

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.