View Information Collection (IC)

View Information Collection (IC)

IC Title:	Loan Discharge Application: False Certification (Disqualifying Status)	Agency IC Tracking Number:	4690

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	N/A	Loan Discharge Application: False Certification (Disqualify Status)	1845-0015_ FC-DS_30-day_10142011 (2).doc		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Title IV Program Files	FR Citation: 64 FR 30163

Number of Respondents: 1,290	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,290	0	0	0	0	1,290
Annual IC Time Burden (Hours)	645	0	0	0	0	645
Annual IC Cost Burden (Dollars)	0	0	0	0	0	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.