Information Collection

Attorney Student Loan Repayment Program Electronic Forms

IC 179346 under ICR 202404-1105-001 · OMB 1105-0086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 105-0086 Attorney Student Loan Repayment Program Electronic Forms	Form and Instruction
Form 105-0086 ASLRP New Request - Form Fillable Version 2023 Attorney Student Loan Repayment Program Electronic Forms	Form and Instruction
Form 1105-0086 ASLRP Justification 2023 Attorney Student Loan Repayment Program Electronic Forms	Form and Instruction
105-0086 ASLRP New Request - Form Fillable Version 2023 Forms - ASLRP New Request 2.28.2023.pdf www.justice.gov/media/1128851/dl?inline=	Form and Instruction
105-0086 ASLRP New Request - Form Fillable Version 2023 Forms - ASLRP New Request 2.28.2023.pdf www.justice.gov/media/1128851/dl?inline=	Form and Instruction
1105-0086 ASLRP Justification 2023 Forms - ASLRP Justification 22.28.2023.pdf www.justice.gov/media/1189136/dl?inline=	Form and Instruction
1105-0086 ASLRP Justification 2023 Forms - ASLRP Justification 22.28.2023.pdf www.justice.gov/media/1189136/dl?inline=	Form and Instruction

IC Title:

Agency IC Tracking Number:

1105-0086

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Part 537 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	105-0086			https://www.justice.gov/media/1128851/dl?inline=	Yes	Yes	Fillable Fileable Signable
Form and Instruction	1105-0086			https://www.justice.gov/media/1189136/dl?inline=	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: JMD-024 , Attorney Student Loan Repayment Program Applicant Files

FR Citation: 71 FR 64740

Number of Respondents: 21

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	42	42
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.

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