INCOME CONTINGENT REPAYMENT PLAN, AUTHORIZATION TO RELEASE INFORMATION

ICR 199504-1840-001

OMB: 1840-0706

Federal Form Document

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Status
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ICR Details
1840-0706 199504-1840-001
Historical Active
ED/OPE
INCOME CONTINGENT REPAYMENT PLAN, AUTHORIZATION TO RELEASE INFORMATION
New collection (Request for a new OMB Control Number)   No
Expedited
Approved without change 04/21/1995
Retrieve Notice of Action (NOA) 04/03/1995
Approved as amended by ED's 4/21/95 memorandum to OMB. ED has agreed to revise the form as described in this memorandum. Approval is conditional on ED submitting a copy of the revised form to OMB prior to implementation, which shall include appropriate revisions in light of the public comment received on this form.
  Inventory as of this Action Requested Previously Approved
05/31/1998 05/31/1998
300,000 0 0
60,000 0 0
0 0 0

REPAYMENT PLAN OFFERED TO BORROWERS FOR REPAYMENT OF DEFAULTED STUDENT LOANS UNDER AN INCOME CONTINGENT REPAYMENT PLAN. THIS FORM WILL PROVIDE THE REQUIRED 5-YEAR CONSENT TO THE INTERNAL REVENUE SERVICE TO DISCLOSE CERTAIN TAX INFORMATION TO THE DEPARTMENT OF EDUCATION (ED) AND ED'S PROGRAM CONTRACTORS FOR THE PURPOSE OF CALCULATING THE BORROWER'S MONTHLY REPAYMENT.

None
None


No

1
IC Title Form No. Form Name
INCOME CONTINGENT REPAYMENT PLAN, AUTHORIZATION TO RELEASE INFORMATION

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300,000 0 0 300,000 0 0
Annual Time Burden (Hours) 60,000 0 0 60,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/03/1995


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