OMB control number
Application for Non-Profit Budget and Credit Counseling Agencies
OMB 1105-0084 · DOJ/LA.
Under the Bankruptcy Abuse Prevention and Consumer Protection Act of 2005 (Act), Pub.L. 109-8, the United States Trustee (UST) is charged with creating an approved list of credit counseling agencies. Each agency must meet minimum qualifications established by Congress in the new law. The UST needs the information in the application in order to evaluate whether the applicants meet these qualifications established by Congress. The respondents to the application will be credit counseling agencies who seek to counsel individuals before they file for bankruptcy.
The latest form for Application for Non-Profit Budget and Credit Counseling Agencies expires 2028-09-30 and can be found here.
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Supporting Statement A |
Form May 2022 Application for Non-Profit Budget and Credit Counseling Agencies
Appendix E: Activity Report for Approved Credit Counseling Agencies
Appendix B: Judicial Districts
Application for Non-Profit Budget and Credit Counseling Agencies Application for Non-Profit Budget and Credit Counseling Agencies
Federal Enterprise Architecture: General Government - Executive Functions
| Form NA | Appendix A: Acknowledgments, Agreements, and Declarations in Support of Application for Approval as a Nonprofit Budget and Credit Counseling Agency | Fillable Printable | Form |
| Form Revision 10.16.2019 1105-0084 | APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDIT COUNSELING AGENCY | Fillable Printable | Form and instruction |
| Form NA | APPLICATION FOR APPROVAL AS A NONPROFIT BUDGET AND CREDIT COUNSELING AGENCY | Printable Only | Form |
| Form NA | Appendix E: Activity Report for Approved Credit Counseling Agencies | Fillable Printable | Form |
| Form NA | Appendix D: Matrix of Current Counselors | Fillable Fileable | Form |
| Form NA | Appendix C: Business Locations | Fillable Fileable | Form |
| Form NA | Appendix B: Judicial Districts | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.