Information Collection

Application and Employment Certification for Public Service Loan Forgiveness

IC 198201 under ICR 202606-1845-004 · OMB 1845-0110.

Documents and Forms

Document Name Document Type
NA Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction
R_1845-0110 PSLF TEPSLF Certification and App_2026 CLEAN (1).docx studentaid.gov/pslf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application and Employment Certification for Public Service Loan Forgiveness	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	NA	R_1845-0110 PSLF TEPSLF Certification and App_2026 CLEAN (1).docx	studentaid.gov/pslf	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Common Services for Borrowers	FR Citation: 91 FR 21472

Number of Respondents: 913,713	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	913,713	0	913,713
Annual IC Time Burden (Hours)	456,857	0	456,857
Annual IC Cost Burden (Dollars)	10,050,854	10,050,854	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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