Application for Non-Profit Budget and Credit Counseling Agencies

OMB 1105-0084

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 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form May 2022 Application for Non-Profit Budget and Credit Counseling Agencies Form and Instruction
Application for Non-Profit Budget and Credit Counseling Agencies Form
CC JMD Transmittal Memo 1105-0084.pdf Supplementary Document
11 USC 111.docx Supplementary Document
CC JMD Transmittal Memo.pdf Supplementary Document
JMD Transmittal Memo.pdf Supplementary Document
1105-0084 CC OMB 83-I Submission Form.pdf Supplementary Document
1105-0084_11 USC 111_080713.doc Supplementary Document
OMB 1105-0084 Application Materials.pdf Supporting Statement A
Application for Non-Profit Budget and Credit Counseling Agencies Form and Instruction
Application for Non-Profit Budget and Credit Counseling Agencies Form

All Historical Document Collections

202205-1105-002 Approved without change	Revision of a currently approved collection	2022-05-04
201910-1105-002 Approved without change	Revision of a currently approved collection	2019-10-16
201604-1105-002 Approved without change	Revision of a currently approved collection	2016-09-14
201308-1105-001 Approved without change	Revision of a currently approved collection	2013-08-07
201303-1105-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-03-05
201208-1105-001 Approved without change	Extension without change of a currently approved collection	2012-08-22
201202-1105-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-02-22
200906-1105-002 Approved with change	Extension without change of a currently approved collection	2009-06-25
200701-1105-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2007-01-25
200601-1105-002 Approved with change	Revision of a currently approved collection	2006-01-12
200506-1105-001 Approved with change	New collection (Request for a new OMB Control Number)	2005-06-14