OMB control number
Health Education Assistance Loan (HEAL) Program: Forms
OMB 1845-0128 · ED/FSA.
OMB 1845-0128
The HEAL forms are required for lenders to make application to the HEAL insurance program, to report accurately and timely on loan actions, including transfer of loans to a secondary agent, and to establish the repayment status of borrowers who qualify for deferment of payments using form 508. The reports assist in the diligent administration of the HEAL program, protecting the financial interest of the federal government.
The latest form for Health Education Assistance Loan (HEAL) Program: Forms expires 2021-12-31 and is listed under ICR 201808-1845-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Application for Contract of Federal Loan Insurance (HEAL Form 504) | Form and Instruction |
| Borrower Deferment Request (HEAL Form 508) | Form and Instruction |
| 1845-0128 Supporting Statement 2021 30D rev.docx | Supporting Statement A |
 Application for Contract of Federal Loan Insurance (HEAL Form 504) |
Form and Instruction |
| Borrower Deferment Request (HEAL Form 508) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202106-1845-002 | Revision of a currently approved collection | 2021-08-30 | Approved without change | |
| 201808-1845-004 | Extension without change of a currently approved collection | 2018-10-30 | Approved with change | |
| 201505-1845-002 | Revision of a currently approved collection | 2015-08-05 | Approved without change | |
| 201406-1845-019 | No material or nonsubstantive change to a currently approved collection | 2014-06-24 | Approved without change | |
| 201406-1845-005 | Revision of a currently approved collection | 2014-06-02 | Approved with change |
OMB Details
Health Education Assistance Loan (HEAL) Program: Forms
Federal Enterprise Architecture: Education - Higher Education
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form N/A | HEAL form 504 | Fillable Fileable | Form and instruction |
| Form N/A | Loan Transfer Record Layout | Fillable Fileable | Form and instruction |
| Form N/A | Borrower Loan Status Record | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.