Information Collection

Pre-Authorized Debit Account (PDA) Brochure and Application

IC 22220 under ICR 202402-1845-006 · OMB 1845-0025.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pre-Authorized Debit Account (PDA) Brochure and Application	Form and Instruction
Pre-Authorized Debit Account (PDA) Brochure and Applicat 1845-0025 FSA PDA App.docx	Form and Instruction
Pre-Authorized Debit Account (PDA) Brochure and Applicat 1845-0025 FSA PDA App.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

ED-2021-SCC-0047

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	Pre-Authorized Debit Account (PDA) Brochure and Application	1845-0025 FSA PDA App.docx		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrowers

FR Citation: 88 FR 48449

Number of Respondents: 637

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	637	-1,030	1,667
Annual IC Time Burden (Hours)	51	-87	138
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.