Information Collection

HEAL Request for Collection Assistance Form (Form 513)

IC 6323 under ICR 202303-1845-005 · OMB 1845-0127.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HEAL Request for Collection Assistance Form (Form 513)	Form
513 Form HEAL form 513 Draft 2023.docx	Form
513 Form HEAL form 513 Draft 2023.docx	Form

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: 42 CFR 60.35

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	NA	513 Form	HEAL form 513 Draft 2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Health Education Assistance Loan

FR Citation: 83 FR 40264

Number of Respondents: 4

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 92 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	221	221
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	553	553

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.