Attorney Student Loan Repayment Program Electronic Forms

Documents and Forms

Document Name Document Type
Form 105-0086 Attorney Student Loan Repayment Program Electronic Forms Form and Instruction
105-0086 ASLRP New Request - Form Fillable Version 2023 Forms - ASLRP New Request 2.28.2023.pdf www.justice.gov/media/1128851/dl?inline= Form and Instruction
105-0086 ASLRP New Request - Form Fillable Version 2023 Forms - ASLRP New Request 2.28.2023.pdf www.justice.gov/media/1128851/dl?inline= Form and Instruction
1105-0086 ASLRP Justification 2023 Forms - ASLRP Justification 22.28.2023.pdf www.justice.gov/media/1189136/dl?inline= Form and Instruction
1105-0086 ASLRP Justification 2023 Forms - ASLRP Justification 22.28.2023.pdf www.justice.gov/media/1189136/dl?inline= Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Attorney Student Loan Repayment Program Electronic Forms	Agency IC Tracking Number:	1105-0086

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR Part 537 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	105-0086	ASLRP New Request - Form Fillable Version 2023	Forms - ASLRP New Request 2.28.2023.pdf	https://www.justice.gov/media/1128851/dl?inline=	Yes	Yes	Fillable Fileable Signable
Form and Instruction	1105-0086	ASLRP Justification 2023	Forms - ASLRP Justification 22.28.2023.pdf	https://www.justice.gov/media/1189136/dl?inline=	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: JMD-024 , Attorney Student Loan Repayment Program Applicant Files	FR Citation: 71 FR 64740

Number of Respondents: 21	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	21	21
Annual IC Time Burden (Hours)	42	42
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.