Information Collection

DOD Education Loan Repayment Program

IC 5264 under ICR 201809-0704-004 · OMB 0704-0152.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0152 can be found here:

Documents and Forms

Document Name Document Type
Form DD Form 2475 DOD Education Loan Repayment Program Form and Instruction
DD Form 2475 DOD Education Loan Repayment Program (LRP) Annual Applic dd2475 20171010.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	DOD Education Loan Repayment Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	DD Form 2475	DOD Education Loan Repayment Program (LRP) Annual Application	dd2475 20171010.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	44,000	21,609	22,391
Annual IC Time Burden (Hours)	7,333	3,601	3,732
Annual IC Cost Burden (Dollars)	88,000	18,588	69,412

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.