Information Collection

Federal Student Loan Debt Relief Application and Verification Forms Request

IC 256321 under ICR 202210-1845-001 · OMB 1845-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Federal Student Loan Debt Relief Application and Verification Forms Request	Form and Instruction
Debt Relief Application Form Debt Relief Application Form .pdf	Form and Instruction
Debt Relief Application Paper-Based Form Debt Relief Application Form.docx	Form and Instruction
Income Verification Form Income Verification Form .pdf	Form and Instruction
Income Verification Paper-Based Form Income Verification Form .docx	Form and Instruction
Parent Income Form for Dependent Students Parent Income Form for Dependent Students .pdf	Form and Instruction
Parent Income Form for Dependent Students Paper-Based Fo Parent Income Form for Dependent Students.docx	Form and Instruction
Parent Income Waiver Request Form Parent Income Waiver Request Form .pdf	Form and Instruction
Parent Income Waiver Request Paper-Based Form Parent Income Waiver Request Form.docx	Form and Instruction

IC Title:

Federal Student Loan Debt Relief Application and Verification Forms Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Debt Relief Application Form	Debt Relief Application Form .pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Debt Relief Application Paper-Based Form	Debt Relief Application Form.docx	No		Paper Only
Form and Instruction	N/A	Income Verification Form	Income Verification Form .pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Income Verification Paper-Based Form	Income Verification Form .docx	No		Paper Only
Form and Instruction	N/A	Parent Income Form for Dependent Students	Parent Income Form for Dependent Students .pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Parent Income Form for Dependent Students Paper-Based Form	Parent Income Form for Dependent Students.docx	No		Paper Only
Form and Instruction	N/A	Parent Income Waiver Request Form	Parent Income Waiver Request Form .pdf	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Parent Income Waiver Request Paper-Based Form	Parent Income Waiver Request Form.docx	No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33,000,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 96 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	38,237,500	38,237,500
Annual IC Time Burden (Hours)	8,236,075	8,236,075
Annual IC Cost Burden (Dollars)	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.