Information Collection

Third Party Servicer Data Form

IC 212998 under ICR 202512-1845-002 · OMB 1845-0130.

Documents and Forms

Document Name Document Type
Third Party Servicer Data Form Third Party Servicer Data Form Form and Instruction
Third Party Servicer Data Form 2025 Screenshots.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Third Party Servicer Data 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: 34 CFR 668.82 34 CFR 668.25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Third Party Servicer Data Form	2025 Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 46	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	59	-144	203
Annual IC Time Burden (Hours)	36	-108	144
Annual IC Cost Burden (Dollars)	0	0	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.

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