Information Collection

Public Service Loan Forgiveness Reconsideration Request

IC 252168 under ICR 202605-1845-004 · OMB 1845-0164.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Landing Page_1845-0164.docx	Other-PSLF Reconsideration Landing P
Borrower Information_1845-0164.docx	Other-PSLF Reconsideration Borrower
PSLF Reconsideration Request_1845-0164.docx	Other-PSLF Reconsideration Request C

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:

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PSLF Reconsideration Landing Page Clean 6-6-23	studentaid.gov	Yes	Yes	Fillable Fileable Signable
Other-PSLF Reconsideration Borrower Information Clean 6-6-23	studentaid.gov	Yes	Yes	Fillable Fileable Signable
Other-PSLF Reconsideration Request Clean 6-6-23	studentaid.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Common Services for Borrowers

FR Citation: 81 FR 171

Number of Respondents: 36,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	9,000	9,000
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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