Forbearance Form

Forbearance Request for National Service Form

Documents and Forms

Document Name Document Type
Form 1 Forbearance Form Form and Instruction
1 2019 Forbearance 2016 Forbearance with AC watermark 20191226.docx www.nationalservice.gov Form and Instruction
1 2019 Forbearance 2016 Forbearance with AC watermark 20191226.docx www.nationalservice.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Forbearance Form	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	1	2019 Forbearance	2016 Forbearance with AC watermark 20191226.docx	www.nationalservice.gov	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: Member Management Files	FR Citation: 67 FR 4395

Number of Respondents: 13,182	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 66 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	13,182	2,182	11,000
Annual IC Time Burden (Hours)	2,197	364	1,833
Annual IC Cost Burden (Dollars)	92,010	92,010	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.