Cancer Treatment Deferment Form

Cancer Treatment Deferment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0154 can be found here:

Documents and Forms

Document Name Document Type
Cancer Treatment Deferment Form Form and Instruction
1845-XXXX CTD Revised DRAFT.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Cancer Treatment Deferment Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	N/A	1845-XXXX CTD Revised DRAFT.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Common Service for Borrowers	FR Citation: 79 FR 177

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	833	833
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.