Information Collection Request

Application for Debt Education Course Provider

ICR 202505-1105-003 · OMB 1105-0085 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form May 2022 Application for Debt Education Course Provider Form and Instruction Modified Available
Form May 2022 Application for Debt Education Course Provider Form and Instruction Unchanged Repair queued
Form 2019 Revision 1105 Application for Debt Education Course Provider Form and Instruction Modified Available
Appendix E: Activity Report for Approved Providers Form Modified Available
Appendix D: Matrix of Current Instructors Form Modified Available
Appendix C: Business Locations Form Modified Available
Appendix B: Judicial Districts Form Modified Available
Appendix A: Acknowledgments, Agreements, and Declarations in Support of Application for Approval as a Provider of a Personal Financial Management Instructional Course Form Modified Available
APPLICATION FOR APPROVAL AS A PROVIDER OF A PERSONAL FINANCIAL MANAGEMENT INSTRUCTIONAL COURSE Form Modified Available
Application for Debt Education Course Provider Form Unchanged Repair queued
DE JMD Transmittal Memo.pdf Supplementary Document Uploaded 2022-05-03 Available
DE JMD Transmittal Memo.pdf Supplementary Document Uploaded 2022-05-03 Repair queued
DE Final Rule.pdf Supplementary Document Uploaded 2019-10-16 Available
DE Final Rule.pdf Supplementary Document Uploaded 2019-10-16 Available
DE JMD Transmittal Memo.pdf Supplementary Document Uploaded 2019-10-16 Available
DE JMD Transmittal Memo.pdf Supplementary Document Uploaded 2019-10-16 Repair queued
11 USC 111.docx Supplementary Document Uploaded 2019-10-16 Repair queued
11 USC 111.docx Supplementary Document Uploaded 2019-10-16 Repair queued
JMD Transmittal Memo.pdf Supplementary Document Uploaded 2016-08-31 Available
JMD Transmittal Memo.pdf Supplementary Document Uploaded 2016-08-31 Repair queued
DE Supporting Statement A (2).docx Supporting Statement A Uploaded 2025-09-12 Available
DE Supporting Statement A.docx Supporting Statement A Uploaded 2022-05-03 Missing upstream
1105-0085 DE OMB 83-I Submission Form.pdf Supplementary Document Uploaded 2016-08-31 Available
1105-0085 DE OMB 83-I Submission Form.pdf Supplementary Document Uploaded 2016-08-31 Repair queued
1105-0085_11 USC 111_080713.doc Supplementary Document Uploaded 2013-08-07 Available
1105-0085_11 USC 111_080713.doc Supplementary Document Uploaded 2013-08-07 Repair queued
1105-0085 DE Final Rule (published in FR 3-14-13)_080713.pdf Supplementary Document Uploaded 2013-08-07 Available
1105-0085 DE Final Rule (published in FR 3-14-13)_080713.pdf Supplementary Document Uploaded 2013-08-07 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
253219 Application for Debt Education Course Provider Form and Instruction ModifiedApplication for Debt Education Course Provider
253219 Application for Debt Education Course Provider Form and Instruction Unchanged
11783 Application for Debt Education Course Provider Form and Instruction ModifiedApplication for Debt Education Course Provider
11783 Application for Debt Education Course Provider Form ModifiedAppendix E: Activity Report for Approved Providers
11783 Application for Debt Education Course Provider Form ModifiedAppendix D: Matrix of Current Instructors
11783 Application for Debt Education Course Provider Form ModifiedAppendix C: Business Locations
11783 Application for Debt Education Course Provider Form ModifiedAppendix B: Judicial Districts
11783 Application for Debt Education Course Provider Form ModifiedAppendix A: Acknowledgments, Agreements, and Declarations in Support of Application for Approval as a Provider of a Personal Financial Management Instructional Course
11783 Application for Debt Education Course Provider Form ModifiedAPPLICATION FOR APPROVAL AS A PROVIDER OF A PERSONAL FINANCIAL MANAGEMENT INSTRUCTIONAL COURSE
11783 Application for Debt Education Course Provider Form Unchanged
11783 Application for Debt Education Course Provider Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2028 36 Months From Approved 09/30/2025
270 0 282
6,210 0 27,908
13,500 0 14,100





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Application for Debt Education Course Provider NA, NA, NA, NA, NA, NA, 2019 Revision 1105-0085 ,   ,   ,   ,   ,   ,  
Application for Debt Education Course Provider May 2022

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 270 282 0 -12 0 0
Annual Time Burden (Hours) 6,210 27,908 0 -21,698 0 0
Annual Cost Burden (Dollars) 13,500 14,100 0 -600 0 0


Reginfo record details
  No