View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Loan Waiver and Deferral Application	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	RR-03	Loan Waiver and Deferral Application	RR-03 Loan Waiver and Deferral Application (2).docx		Yes	Yes	Fillable Printable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - Arabic	RR-03 Loan Waiver and Deferral Application - STANDARD_0_ar 508.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - French	RR-03 Loan Waiver and Deferral Application - STANDARD_0_fr 508.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - Russian	RR-03 Loan Waiver and Deferral Application - STANDARD_0_ru 508.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - Simplified Chinese	RR-04 Routine Repatriation Reimbursement Request - STANDARD_zh_cn 508.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - Spanish	RR-03 Loan Waiver and Deferral Application - STANDARD_0_es_508.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	RR-03	Loan Waiver and Deferral Application - Traditional Chinese	RR-03 Loan Waiver and Deferral Application - STANDARD_0_zh_TW 508.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: OHSEPR Repatriation and Disaster Human Services Case Management Records 09–80–0389	FR Citation: 88 FR 63109

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	100	0	0	0	0	100
Annual IC Time Burden (Hours)	50	0	0	0	0	50
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.