Loan Discharge Applications (DL/FFEL/Perkins)

Forms and Documents

Document Name	Status
Loan Discharge Application: Unpaid Refund Form and Instruction	Modified
Loan Discharge Application: School Closure Form and Instruction	Modified
Loan Discharge Application: False Certification (Unauthorized Signature/Payment) Form and Instruction	Modified
LLoan Discharge Application: False Certification Disqualifying Status Form and Instruction	Modified
Loan Discharge Application: False Certification (ATB) Form and Instruction	Modified
83C 1845-0058 10 3 2017.pdf Justification for No Material/Nonsubstantive Change	2017-10-03
Comments to Federal Student Loan Discharge Forms1.msg Supplementary Document	2017-07-27
Comments to Federal Student Loan Discharge Forms.msg Supplementary Document	2017-07-27
1845-0058 Supp Statement July 2017 30D.docx Supporting Statement A	2017-07-27

IC Document Collections

IC ID	Document Title	Status
22313	Loan Discharge Application: Unpaid Refund Form and Instruction	Modified
212119	Loan Discharge Application: School Closure Form and Instruction	Modified
212118	Loan Discharge Application: False Certification (Unauthorized Signature/Payment) Form and Instruction	Modified
212117	LLoan Discharge Application: False Certification Disqualifying Status Form and Instruction	Modified
212116	Loan Discharge Application: False Certification (ATB) Form and Instruction	Modified

ICR Details

OMB Control No: 1845-0058	ICR Reference No: 201710-1845-001
Status: Historical Active	Previous ICR Reference No: 201704-1845-005
Agency/Subagency: ED/FSA	Agency Tracking No:
Title: Loan Discharge Applications (DL/FFEL/Perkins)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/21/2017
	Date Received in OIRA: 10/03/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	09/30/2020	09/30/2020
Responses	30,051	0	30,051
Time Burden (Hours)	15,027	0	15,027
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Education is requesting an extension of the currently approved information collection. This information collection is necessary for loan holders in the FFEL, Direct Loan, and Perkins Loan programs to obtain the information that is needed to determine whether a borrower qualifies for a closed school or false certification loan discharge. The loan discharge regulations in all three loan programs require borrowers who seek discharge of their FFEL, Direct Loan, or Perkins Loan program loans to request a loan discharge and provide their loan holders with certain information in writing. This information collection includes the following five loan discharge applications that are used to obtain the information needed to determine whether a borrower qualifies for a closed school discharge, false certification - ATB, false certification - disqualifying status, false certification - unauthorized signature/unauthorized payment or unpaid refund loan discharges.

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Authorizing Statute(s): US Code: 20 USC 1087(c)(1) Name of Law: Higher Education Act of 1965, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 19364	04/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 35770	08/01/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Loan Discharge Application: Unpaid Refund	N/A	Unpaid Refund
Loan Discharge Application: False Certification (ATB)	N/A	False Certification ATB
LLoan Discharge Application: False Certification Disqualifying Status	N/A	False Certification Disqualifying Status
Loan Discharge Application: False Certification (Unauthorized Signature/Payment)	N/A	False Certification Unauthorized Signature
Loan Discharge Application: School Closure	N/A	School Closure

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	30,051	30,051	0	0	0	0
Annual Time Burden (Hours)	15,027	15,027	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/03/2017

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