Information Collection

Application and Employment Certification for Public Service Loan Forgiveness

IC 198201 under ICR 202305-1845-004 · OMB 1845-0110.

Documents and Forms

Document Name Document Type
Application and Employment Certification for Public Service Loan Forgiveness Form and Instruction
1845-0110_PSLF_TEPSLF_CertApplication_revised_8.29.23.pdf studentaid.gov/pslf Form and Instruction
1845-0110_PSLF_TEPSLF_CertApplication_revised_8.29.23.pdf studentaid.gov/pslf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application and Employment Certification for Public Service Loan Forgiveness	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	N/A	N/A	1845-0110_PSLF_TEPSLF_CertApplication_revised_8.29.23.pdf	studentaid.gov/pslf	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: Common Services for Borrowers	FR Citation: 87 FR 176

Number of Respondents: 913,713	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	913,713	913,713
Annual IC Time Burden (Hours)	456,857	456,857
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.