View Information Collection (IC)
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Health Education Assistance Loan (HEAL) Program: Forms 504
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
N/A
HEAL form 504
Draft HEAL form 504 60 day notice version 5 5 2015.doc
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Borrower Deferment Request
Borrower Loan Status Record Layout.docx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Loan Transfer Record Layout
Loan Transfer Record Layout.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Higher Education
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
79
0
-72
0
0
151
Annual IC Time Burden (Hours)
13
0
-10
0
0
23
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
BLS_Tape_Specs
BLS_Tape_Specs.pdf
07/31/2012
Loan_Pur_Consol_Tape_Specs
Loan_Pur_Consol_Tape_Specs.doc
07/31/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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