Loan Discharge Application: Unpaid Refund

Loan Discharge Applications (DL/FFEL/Perkins)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0058 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Loan Discharge Application: Unpaid Refund Form and Instruction
1 Unpaid Refund FINAL_1845-0058 UR_20140729_Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Loan Discharge Application: Unpaid Refund	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 682 and 685

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Unpaid Refund	FINAL_1845-0058 UR_20140729_Clean.docx		Yes	Yes	Fillable Printable

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: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	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.