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Application for Debt Education Course Provider
Application for Debt Education Course Provider
OMB: 1105-0085
IC ID: 11783
OMB.report
DOJ/LA
OMB 1105-0085
ICR 201604-1105-003
IC 11783
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0085 can be found here:
2022-05-04 - Revision of a currently approved collection
2019-10-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Application for Debt Education Course Provider
Form
2016 DE Application Instructions.docx
Instruction
DE Supplemental Instructions for Universities.docx
Instruction
APPLICATION FOR APPROVAL AS A PROVIDER OF A PERSONAL FIN
2016 DE Application.docx
Form
Appendix A: Acknowledgments, Agreements, and Declaration
DE Appendix A.doc
Form
Appendix B: Judicial Districts
DE Appendix B.docx
Form
Appendix C: Business Locations
DE Appendix C.doc
Form
Appendix D: Matrix of Current Instructors
DE Appendix D.doc
Form
Appendix E: Activity Report for Approved Providers
DE Appendix E.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Debt Education Course Provider
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
5 CFR 1320.6
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NA
APPLICATION FOR APPROVAL AS A PROVIDER OF A PERSONAL FINANCIAL MANAGEMENT INSTRUCTIONAL COURSE
2016 DE Application.docx
Yes
Yes
Printable Only
Form
NA
Appendix A: Acknowledgments, Agreements, and Declarations in Support of Application for Approval as a Provider of a Personal Financial Management Instructional Course
DE Appendix A.doc
Yes
Yes
Fillable Printable
Form
NA
Appendix B: Judicial Districts
DE Appendix B.docx
Yes
Yes
Fillable Fileable
Form
NA
Appendix C: Business Locations
DE Appendix C.doc
Yes
Yes
Fillable Fileable
Form
NA
Appendix D: Matrix of Current Instructors
DE Appendix D.doc
Yes
Yes
Fillable Fileable
Form
NA
Appendix E: Activity Report for Approved Providers
DE Appendix E.docx
Yes
Yes
Fillable Printable
Instruction
2016 DE Application Instructions.docx
Yes
Yes
Fillable Fileable
Instruction
DE Supplemental Instructions for Universities.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
195
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
80 %
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
195
0
-1,368,530
0
0
1,368,725
Annual IC Time Burden (Hours)
17,014
0
-7,062
0
0
24,076
Annual IC Cost Burden (Dollars)
9,750
0
-4,000
0
0
13,750
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.