Information Collection Request

Public Service Loan Forgiveness (PSLF) & Temporary Expanded PSLF (TEPSLF) Certification and Application

ICR 202606-1845-004 · OMB 1845-0110 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction Modified Available
Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction Modified Available
1845-0110 Emergency Memo 6.26.docx Supplementary Document Uploaded 2026-06-26 Available
1845-0110 Emergency Memo (3).docx Supplementary Document Uploaded 2026-06-17 Available
R_1845-0110 PSLF TEPSLF Certification and App_2026 REDLINE (1).pdf Supplementary Document Uploaded 2026-06-17 Available
R_1845-0110 PSLF TEPSLF Certification and App_2026 REDLINE (1).pdf Supplementary Document Uploaded 2026-06-17 Available
1845-0110 Supporting Statement PSLF emergency (2).docx Supporting Statement A Uploaded 2026-06-17 Available
1845-0110 Supporting Statement PSLF emergency (2).docx Supporting Statement A Uploaded 2026-06-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
198201 Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction ModifiedNA
198201 Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction ModifiedNA

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2026 6 Months From Approved 12/31/2026
913,713 0 913,713
456,857 0 456,857
10,050,854 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application and Employment Certification for Public Service Loan Forgiveness NA

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 913,713 913,713 0 0 0 0
Annual Time Burden (Hours) 456,857 456,857 0 0 0 0
Annual Cost Burden (Dollars) 10,050,854 0 0 0 10,050,854 0


Reginfo record details
  No