OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

1 **SUPPORTING STATEMENT FOR PAPERWORK REDUCTION ACT SUBMISSION** 

**A. Justification** 1. Explain the circumstances that make the collection of information necessary . Identify any legal or administrative requirements that necessitate the collection. Attach a hard cop y of the appropriate section of each statute and regulation mandating or authorizing the collection of information , or you may provide a valid URL link or paste the applicable section 1 . Specify the review type of the collectio n (new, revision, extension, reinstatement with change, reinstatement without change) . If revised, briefl y specify the changes. If a rulemaking is involved, make note of the sections or changed sections, if applicable. **Circumstances of Information Collec tion**  Section 525 of the Consolidated Appropriations Act of 2014 transferred the collection of the HEAL program loans from the U.S. Department of Health and Human Services (HHS) to the U.S. Department of Education (ED). To fulfill this mandate, ED requested and received the transfer of the OMB approved information collections from HHS to ED. This is a request for revision of OMB approval of information collection requirements associated with the forms of the Health Education Assistance Loan (HEAL) Program, curr ently approved under OMB No. 1845
- 0128, which expires September 30,2015. The HEAL forms and collection burden for which approval is requested are listed below. * Application for Contract of Federal L oan Insurance (HEAL Form 504) which is required under section 706 of the Public Health Service (PHS) Act (42 U.S.C. 292e), and the HEAL regulations (42 CFR 60.31(a)). * Borrower Loan Status Updates , (datasets) which is required under section 705 of the PHS Act (42 U.S.C. 292d), and the HEAL regulations (42 CFR 60.42(a)(2)). * Lo an Purchases & Consolidation , (datasets) which is required under section 705 of the PHS Act (42 U.S.C. 292d), and the HEA L regulations (42 CFR 60.38(a)). * Borrower Deferment Request (HEAL Form 508) which is required under section 705 of the PHS Act (42 U.S.C. 292d), and the HEAL regulations (42 CFR 60.12). The HEAL program provided federall y insured loans to students in s chools of allopathic medicine, osteopathic medicine, dentistry , veterinary medicine, optometry , podiatric

1 Please limit pasted text to no longer than 3 paragraphs.OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

2 medicine, pharmacy , public health, or chiropractic, and graduate students in health administration or clinical psychology through September 30, 1998. Various lenders made HEAL loans which were insured by the Federal Government against loss due to borrower's death, disability , bankruptcy , and default. The basic purpose of the program was to assure the availability

of funds for loans to eligible student s who desired to borrow money to pay for their educational costs. Authorization to fund new HEAL loans to students expired September 30, 1998. Authorization allowing for the refinancing or consolidations of existing HEAL loans expired on September 30, 2004. The reporting, notification, and recordkeeping burden associated with servicing outstanding loans, and administering and monitoring the HEAL program continues. Even though new HEAL loans are not being made, lenders must report various actions which occur regarding the individual HEAL loans and borrowers and c learance of this information collection is necessary for ED to assure reasonable standards of financial responsibility

among institutions that hold and service loans under the HEALprogram. 2. In dicate how, by

whom, and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received from the current collection. The forms and/or reporting of information via e lectronic submissions are needed to assure that lenders and the Federal Government have current information on the status of loans and borrowers, and are in a position to administer the program in a diligent manner which protects the Government’s financial interest in the program. Non

- substantive changes were made to HEAL Form 504 and HEAL Form 508 in this package, such as updating the public burden statements where required. A. The Application for Contract of Federal Loan Insurance

- HEAL Form 504 is used by ED to obtain information needed to assess the capabilities of holders to comply with the HEAL statute, regulations and policies. The form must be completed annually and acts as a contract stipulating the conditions for participation a s a HEAL holder and specifying the program standards and rules. The form also collects such necessary information as the ty pe of institution, name and address of the institution and provides contact information. No substantive changes have been made to this form. B. Borrower Loan Status Updates

- (datasets). The status information about a loan is electronically

submitted to ED by

the lenders/holders according to specifications provided b y ED
. C. Loan Purchases & Consolidation

- (datasets). All information about a loan that is being transferred between two parties is electronically submitted to ED by

the buyer (HEAL participating secondary

market holders) according to specifications provided by ED . It is reported within 30 day s of any transaction. D. The Borrower Deferment Request

- HEAL Form 508 is used to determine which borrowers are deferred from repay ment, for what reason, and for what period of time.OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

3 This form is completed by the borrower as a self

- certifying form onl y if the borrower is participating in an approved internship or residency (item 2), fellowship program or educational activity

(item 3), or when the borrower completes an internship or residency training in certain specified disciplines (item 8) and is practicing primary care. In al l other deferment categories, it is completed by the borrower and his/her specified authorizing official. The borrower must return this form to his/her lenders(s) each ye ar a deferment is requested. The lender uses the form to determine a borrower’s elig ibility for deferment. 3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or forms of information technology , e.g. permitting electronic submission of responses, and the basis for the decision of adopting this means of collection. Also describe an y consideration given to using technology

to reduce burden. All servicers , on behalf of the holders , report borrower status changes and loan purchases to ED electronically

. The Application for Contract of Federal Loan Insurance , submitted annually , requires an official signature b y the lender and is therefore not acceptable through electronic technology

. The Borrower Deferment Reques t is a paper application completed b y each borrower, and if applicable, his/her authorizing official. It is then returned b y the borrower to the holder and is maintained in the borrower’s file. Information concerning the borrower’s deferment status is th en electronicall y transmitted to ED
. 4. Describe efforts to identify duplication. Show specificall y wh y an y similar information already available cannot be used or modified for use for the purposes described in Item 2 above. The information to be reported does not duplicate any other information reported by HEAL holders. 5. If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden. A small entity may be (1) a small business which is deemed to be one that is independently owned and operated and that is not dominant in its field of operation; (2) a small organization that is any not - for

- profit enterprise that is independently owned and operated and is not dominant in its field; or (3 ) a small government jurisdiction, which is a government of a city , count y, town, township, school district, or special district with a population of less than 50,000. The information collection does not involve small businesses or other small entities. 6. Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequentl y, as well as an y technical or legal obstacles to reducing burden.OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

4 The information is collected at critical intervals in the management of program activity . If the information were collected less frequentl y it would be detrimental to the diligent monitoring of the program. 7. Explain any

special circumstances that would cause an information collection to be conducted in a manner:

 requiring respondents to report information to the agency more often than quarterl y;  requiring respondents to prepare a written response to a collection of information in fewer than 30 day s after receipt of it;
 requiring respondents to submit more than an original and two copies of any document;
 requiring respondents to retain records, other than health, medical, government contract, grant - in

- aid, or tax records for more than three years;  in connection with a statistical survey , that is not des igned to produce valid and reliable results than can be generalized to the universe of study ;  requiring the use of a statistical data classification that has not been reviewed and approved b y OMB;
 that includes a pledge of confidentiality that is not suppo rted by

authority established in statute or regulation, that is not supported by disclosure and data security policies that are consistent with the pledge, or that unnecessaril y i mpedes sharing of data with other agencies for compatible confidential use; o r  requiring respondents to submit proprietary trade secrets, or other confidential information unless the agency can demonstrate that it has instituted procedures to protect the information’s confidentiality to the extent permitted by law. This informatio n collection is consistent with 5 CFR 1320.5(d)(2). 8. As applicable, state that the Department has published the 60 and 30 Federal Register notices as required b y 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken b y the agency in response to these comments. Specifically address comments received on cost and hour burden. Describe efforts to consult with persons outside the a gency to obtain their views on the availability

of data, frequency

of collection, the clarity

of instruction and record keeping, disclosure, or reporting format (if an y), and on the data elements to be recorded, disclosed, or reported. Consultation with r epresentatives of those from whom information is to be obtained or those who must compile records should occur at least once every 3 years
– even if the collection of information activity

is the same as in prior periods. There may be circumstances that may preclude consultation in a specific situation. These circumstances should be explained. ED is requesting and will consider an y comments provided b y the public during the 60

- day and 30

- day

public comment periods. This is the request for the 60

- day publ ic comment period regarding the burden estimates.OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

5 9. Explain any

decision to provide any

pay ment or gift to respondents, other than remuneration of contractors or grantees with meaningful justification

. No pay ments or gifts will be provided to respondent s. 10. Describe an y assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy . If personally

identifiable information (PII) is being collected, a Privacy Act statement should be included on the instrument. Please provide a citation for the Sy stems of Record Notice and the date a Privacy Impact Assessment was completed as indicated on the I C Data Form . A confidentiality statement with a legal citation that authorizes the pledge of confident iality should be provided. 2 If the collection is subject to the Privacy Act, the Privacy

Act statement is deemed sufficient with respect to confidentiality . I f there is no expectation of confidentiality , simply state that the Department make s no pledge about the confidentiall y of the data. The Privacy

Act of 1974 (5 U.S.C. 522a) requires an agency to provide a notification to individuals who supply

information. The required Privacy Act notification is provided to HEAL borrowers on the initia l application form and the repay ment schedule. Disclosure of the applicant’s Social Security Number (SSN) is mandatory for participation in the HEAL program, as provided for by section 4 of the Debt Collection Act of 1982 (26 U. S. C. 6103), and the borro wer is advised of this requirement in the HEAL application. Access to these records is strictl y limited to authorized users who are aware of their responsibilities under the Privacy Act and are required to maintain Privacy Act safeguards with respect to s uch records. 11. Provide additional justification for any questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private. The justification should include the reasons wh y the agency considers the questions necessary , the specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent. No information of a sensitiv e nature is requested on these forms. 12. Provide estimates of the hour burden of the collection of information. The statement should:

 Indicate the number of respondents by affected public ty

pe (federal government, individuals or households, private sec tor

– businesses or other for

- profit, private sector

– not - for

- profit institutions, farms, state, local or tribal governments), frequency of response, annual hour burden, and an explanation of how the burden was estimated, including identification of burde n t ype: recordkeeping, reporting or third

2 Requests for this information are in accordance with the following E D and OMB policies: Privacy Act of 1974, OMB Circular A

- 108

– Privacy Act Implementation

– Guidelines and Responsibilities, OMB Circular A

- 130 Appendix I

– Federal Agency Responsibilities for Maintaining Records About Individuals, OMB M

- 03
- 22

– OMB Guidanc e for Im

plementing the Privacy Provisions of the E

- Government Act of 2002, OMB M

- 06
- 15

– Safeguarding Personally Identifiable Information, OM : 6
- 104

– Privacy Act of 1974 (Collection, Use and Protection of Personally Identifiable Information)OMB Number: 1845
- 0128 Revised: 5/ 8 /2015

RIN Number: XXXX

- XXXX (if applicable)

6

party disclosure. All narrative should be included in item 12. Unless directed to do so, agencies should not conduct special survey s to obtain information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potential respondents is desirable. If the hour burden on respondents is expected to vary widel y because of differences in activity , size, or complexity , show the range of estimated hour burden, and explain the reasons for the variance. Generall y, estimates should not include burden hours for customary and usual business practices.
 If this request for approval covers more than one form, provide separate hour burden estimates for each form and aggregate the hour burdens in the ROCI S IC Burden Analy sis Table. (The table should at minimum include Respondent types, IC activity , Respondent and Responses, Hours/Response, and Total Hours)
 Provide estimates of annualized cost to respondents of the hour burdens for collections of infor

mation, identifying and using appropriate wage rate categories. The cost of contracting out or paying outside parties for information collection activities should not be included here. Instead, this cost should be included in Item 14.
The revised respo ndent burden is estimated as follows:
Collection Activity Number of

Respondents Responses

per Respondent Total

Responses Average Time

Per Response Rounded

Total Burden Hours H EAL Form 504 13 1 13 8 min 2 H EAL Form 508: Borrowers Employers 44

39 1

1. 13 44

44 10 min

5 min 7

4 Borrower Loan Status Update Electronic Submission 5 * 11.8 59 10 min 10 Loan Purchase/ Consolidation Electronic Submission 2 * 3 .5 7 4 min 1 TOTAL 96 **167 24**  *** =** These respondents are a subgroup of the 13 respondents identified using HEAL Form 504 and are not included i n the total to avoid double

- counting of respondents.7

OMB Number: 1845
- 0128 Revised: 4 / 30 /2015 RIN Number: XXXX

- XXXX (if applicable) **Respondents Responses**  **Burden Hours** Previous totals 7 3 151 2 3 NEW to tals 96 167 24 Change in totals + 23 +16 +1 Basis for Burden Estimates (all hours are rounded) : Application for Contract of Federal Loan Insurance ( HEAL Form 504)

- Each holder of a HEAL loan must annually appl y to ED to have the loan(s) covered by the Federal loan insurance. There are currently 1 3 holders that must apply each ye ar for the insurance b y completing the HEAL Form 504. Based on the advice received from the holder consultants, the estimate for 8 minutes to complete an application remains unchanged ( 1 3 holders x 1 annual application x 8 m inutes = 2 hours). Borrower Deferment Request ( HEAL Form 508)

- The Borrower Deferment Request is completed b y the borrower and the employer when a deferment is being requested. The borrower must inform the lender annuall y of his/her current status if d eferment is being claimed. The majority of deferments last approximately 3.5 ye ars (residency training). The quarterl y Holder’s Report on Health Education Assistance Loans summary reports for FY14 ( HEAL 512) indicate d 44 borrowers in deferment. Based on discussions with lenders and program experience, it takes approximately 10 minutes to complete the borrower’s portion of the Borrower Deferment Request form ( 44 borrowers x 1 report per ye ar x 10 minutes = 7 hours). There are approximately 39 authorizing officials who complete d the forms for 44 borrowers, for an average of about 1. 13 forms per emplo ye r. Based on discussions with holders and program experience, it takes approximately 5 minutes for the authorizing official to complete the form ( 44 response s x 5 minutes = 4 hours). Borrower Loan Status Updates electronic submission

- Each holder must report actions which are taken regarding each loan held. Currently there are 13 secondary

market holders whose loans are serviced by 5 loan servicing entities . The most frequently reported actions include change of borrower loan status into deferment, grace or repay ment status, forbearance and loans paid

- in

- full. These actions are to be reported within 30 day s of when they occur although the holders/servicers can report them on a more frequent basis. During FY 2014 there were approximately 59 responses each requiring 10 minutes to complete ( 59 responses x 10 minutes = 10 hours). Loan Purchase/Consolidation electronic submission

- In FY 2014 there were 7 loan transfer submissions to the HEAL program. These transactions indicated loan transfers between holders, since HEAL loan consolidation authority ended September 30, 2004. No HEAL loan consolidations is permitted from that date forward. The buyer must n otify ED within 30 day s of the loan purchase. Loan purchases are most frequently completed when a borrower enters repay ment status. The holder may make sales any

time during the year and large holders8

OMB Number: 1845
- 0128 Revised: 4 / 30 /2015 RIN Number: XXXX

- XXXX (if applicable) make more sales than small lenders. These transactio ns are submitted throughout the ye ar via electronic media to ED . The average time it takes the holder to create the submission is 4 minutes depending on the number of loan transactions submitted ( 7 responses x 4 minutes = 1 hour). 13. Provide an estimat e of the total annual cost burden to respondents or record keepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14.)

 The cost estimate should be split into two components: (a) a total cap ital and start

- up cost component (annualized over its expected useful life); and (b) a total operation and maintenance and purchase of services component. The estimates should take into account costs associated with generating, maintaining, and disclosing or providing the information. Include descriptions of methods used to estimate major cost factors including s ys tem and technology acquisition, expected useful life of capital equipment, the discount rate(s), and the time period over which costs will be i ncurred. Capital and start - up costs include, among other items, preparations for collecting information such as purchasing computers and software; monitoring, sampling, drilling and testing equipment; and acquiring and maintaining record storage facilitie s.  If cost estimates are expected to vary widel y, agencies should present ranges of cost burdens and explain the reasons for the variance. The cost of contracting out information collection services should be a part of this cost burden estimate. In developing cost burden estimates, agencies may consult with a sample of respondents (fewer than 10), utilize the 60

- day

pre - OMB submission public comment process and use existing economic or regulatory

impact anal ys is associated with the rulemaking contain ing the information collection, as appropriate.
 Generally , estimates should not include purchases of equipment or services, or portions thereof, made: (1) prior to October 1, 1995, (2) to achieve regulatory compliance with requirements not associated with the information collection, (3) for reasons other than to provide information or keep records for the government or (4) as part of customary and usual business or private practices. Also, these estimates should not include the hourly costs (i.e., the monet ization of the hours) captured above in Item 12 Total Annualized Capital/Startup Cost : Total Annual Costs (O&M) :

____________________ Total Annualized Costs Requested : There are no capital and start

- up costs to the respondents because the program is not new. All equipment and software are maintained b y the lender for their normal business practice. 14. Provide estimates of annualized cost to the Federal government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this collection of information. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a single ta ble.9

OMB Number: 1845
- 0128 Revised: 4 / 30 /2015 RIN Number: XXXX

- XXXX (if applicable) The cost to the Government is estimated at $ 2,480. This covers reviewing the Holder’s Application, entering the information into the HEALdatabase s ys tem, and returning data acceptance information. There are occasions where follow

- up between the G overnment and the holder/servicer is needed, such as for approval of applications and the resolution of questions coming from reviews of holder’s/servicers’ submissions. Based on program experience, this involves 80 hours x $31 per hour = $2,480. 15. Exp lain the reasons for an y program changes or adjustments. Generally, adjustments in burden result from re

- estimating burden and/or from economic phenomenon outside of an agency ’s control (e.g., correcting a burden estimate or an organic increase in the size of the reporting universe). Program changes result from a deliberate action that materiall y changes a collection of information and generally are result of new statute or an agency action (e.g., changing a form, revising regulations, redefining the respon dent universe, etc.). Burden changes should be disaggregated by t ype of change (i.e., adjustment, program change due to new statute, and/or program change due to agency discretion), ty

pe of collection (new, revision, extension, reinstatement with change, reinstatement without change) and include totals for changes in burden hours , responses and cost s (if applicable)

. ED is requesting a revision to the currentl y approved information collection for HEAL forms 504 and 508 as well as the two data sets, Borrowe r L oan Status Updates and L oan Purchases and Consolidation. We are in creasing the total number of respondents (+23) , responses (+16) and burden hours (+1). These slight program changes are due to the continued use of the deferment form b y eligible borrowers and the continued use of the required reporting mechanisms by

HEAL loan holders. 16. For collections of information whose results will be published, outline plans for tabulation and publication. Address any complex analy

tical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other acti ons. The results of this collection will not be published. 17. If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate. ED is not seeking approval to not display the OMB expiration date. 18. Explain each exception to the certification statement identified in the Certification of Paperwork Reduction Act. There are no exceptions to the certification statement.