State Affected Party Information

Health Education Assistance Loan (HEAL) Program Regs.

Documents and Forms

Document Name Document Type
State Affected Party Information 1845-0125.docx Other-State Affected Party Informati
State Affected Party Information 1845-0125.docx Other-State Affected Party Informati

Information Collection (IC) Details

IC Title:	State Affected Party Information	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
Other-State Affected Party Information			State Affected Party Information 1845-0125.docx		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	119,352	1,000	118,352
Annual IC Time Burden (Hours)	22,319	170	22,149
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.