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FFEL CONSOLIDATION LOAN REBATE FEE

REPORT and REMITTANCE FORM

Collection Type – CLRF

1. Lender ID: 8 __ __ __ __ __ 2. Servicer ID: 7 __ __ __ __ __ (Optional)

3. Reporting Period: __ __ / __ __ __ __ 

 (MM) (YYYY)

4. Consolidation Loans Subject to the 1.05% fee; applicable rate: 0 0 0 8 7 5 0 

5. Number of Loans: __ __ __ , __ __ __ , __ __ __

6. End-of-Month Principal Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

7. EOM Accrued Unpaid Interest Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

8. Consolidation Loans Subject to the 0.62% fee, applicable rate: 0 0 0 5 1 6 7

9. Number of Loans: __ __ __ , __ __ __ , __ __ __

10. End-of-Month Principal Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

11. EOM Accrued Unpaid Interest Balance: $ __ __ __ , __ __ __ , __ __ __ , __ __ __ . __ __

12. Total Consolidation Loan Rebate Fee: $ __ __ __ , __ __ __ , __ __ __ . __ __

13. Lender’s Check Number: __ __ __ __ __ __ __ __ __ __ __ __

14. Lender Name: _________________________________________________________________

15. Signature: _________________________________ 16. Date: ____________________

17. Typed or Printed Name & Title: ___________________________________________________

18. Contact Name & Phone #: ________________________________________________________

ED Form 4-619 OMB No.: 1845-0046

Expiration Date: 04/30/2014
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Consolidation Loan Rebate Fee Report

Instructions

Where to Submit: Mail this completed Consolidation Loan Rebate Fee Report and a check made payable 

to the "U.S. Department of Education," with a notation for, and in the amount of, the Fee to:

U.S. Department of Education, 

P. O. Box 979066, St. Louis, MO 63197-9000

If you wish to pay the Fee by Automated Clearing House (ACH) instead of by check, call the U. S. Department of Education at (202) 377-3324/3322 for further instructions. The words "your" and "you" in these 

instructions refer to the lending institution for which this Consolidation Loan Rebate Fee Report is being 

prepared, or the person at the institution preparing the report.

Applicability: This Consolidation Loan Rebate Fee Report is used to report to the U.S. Department of 

Education (ED) the Federal Consolidation Loan Interest Payment Rebate Fee authorized by subsection 

428C(f) of the Higher Education Act of 1965, as amended. A servicer providing loan services to several different lenders must submit a separate Consolidation Loan Rebate Fee Report for each lender that it services. 

Help on completing this Consolidation Loan Rebate Fee Report and on correcting or adjusting prior Reports 

can be obtained from ED by calling (202) 377-3324/3322. NOTE: A lender holding one or more Federal 

Consolidation Loans at the end of the month must submit a payment for the Consolidation Loan Rebate Fee 

within 30 days of the end of the month for which the Fee is calculated.

Form Preparation: Submit the Consolidation Loan Rebate Fee Report using a photocopy of the front 

page of this form, or by typing or computer generating a facsimile of the front page of this form. If a facsimile is produced, include the form title, the ED form number, and all material in the boxes on the front page of 

this form. The facsimile must be produced on 81⁄2 x 11 inch plain white paper, and all items must be arranged 

in the same order as on the form. The dollar symbols ($) must be included, but the lines outlining the boxes 

and the underlines for each item may be omitted. The instructions for this form may also be omitted. ED 

may reject a facsimile that does not meet these criteria.

Fee Calculation: The Federal Consolidation Loan Interest Payment Rebate Fee is calculated and paid 

monthly to ED. It is equal on a monthly basis to 0.0875 percent of the unpaid balance of principal and the 

accrued unpaid interest on all Federal Consolidation Loans disbursed after October 1, 1993, and held by the 

lender on the last day of the month. (This is equal to an annualized rate of 1.05 percent.) Except for loans 

based on applications received during the period from October 1, 1998 through January 31, 1999, inclusive, 

for which the rebate is equal on a monthly basis to .05167 percent of the unpaid balance of principal and the 

accrued unpaid interest. (This is equal to an annualized rate of 0.62 percent.) Use the item-by-item instructions in the following paragraphs to calculate the Fee and to complete the Consolidation Loan Rebate Fee 

Report on the front page of this form.

1. Lender ID: Enter your six-digit lender identification number (LID). The “8” has been pre-filled for 

you. 

2. Servicer ID: Enter your six-digit servicer identification number, if applicable. The “7” has been prefilled for you.

3. Reporting Period: Enter the date of the last day of the month of the reporting period for which this 

Consolidation Loan Rebate Fee Report is being submitted. Enter the date in a "month/year" format. Enter the 

month as two digits. Enter the year as four digits. For the purpose of the Consolidation Loan Rebate Fee 

Report, a month is always a calendar month, starting on the first of the month and ending on the last day (the 

30th or 31st, except for February). A calendar month reporting cycle must be used for the Consolidation 

Loan Rebate Fee Report even if you use a different reporting cycle (e.g. from the 26th day of one month to 

the 25th day of the following month) for internal or other reporting purposes.

4. Applicable rate for Consolidation Loans Subject to the 1.05% fee: This field has been pre-filled for 

you.
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5. Number of Loans: Enter the number of loans subject to the 1.05% fee used to calculate the 

Consolidation Loan Rebate Fee. To determine this number, review all Federal Consolidation Loans held by 

you at the end of the month and identify the loans that were disbursed on or after October 1, 1993, except for 

loans based on applications received during the period from October 1, 1998 through January 31, 1999, 

inclusive which are subject to the 0.62% fee. Include a loan even if you were not the originating lender, you 

only purchased it at a later date. Include all loans eligible for insurance, even if an insurance claim has been 

filed, but not paid, as of close of business on the last day of the month. 

6. End-of-Month Principal Balance: Enter the Principal Balance used to determine the Consolidation 

Loan Rebate Fee. For all Federal Consolidation Loans meeting the requirements in item 5, Number of Loans, 

determine the unpaid principal balance at the end of the day on the last day of the month. Payments received 

from borrowers on the last day of the month should be credited prior to determining the unpaid principal 

balance. Add the unpaid principal balances for all loans to determine the End-of-Month Principal Balance. 

You may round this total to the nearest dollar if desired.

7. End-of-Month Accrued Unpaid Interest Balance: Enter the End-of-Month Accrued Unpaid Interest 

Balance used to determine the Consolidation Loan Rebate Fee. For each loan for which an End-of-Month 

Principal Balance (see item 6) was determined, determine its accrued unpaid interest balance at the end of the 

day on the last day of the month. Payments received from borrowers or ED on the last day of the month 

should be credited prior to determining the accrued unpaid interest balance. Add the accrued unpaid interest 

balances for all loans to determine the End-of-Month Accrued Unpaid Interest Balance. You may round this 

total to the nearest dollar if desired.

(Items 8 through 11 – Repeat the instructions for Items 4 through 7, as they apply to Consolidation loans 

based on applications received during the period from October 1, 1998 through January 31,1999, inclusive, 

which are subject to the 0.62% fee.)

12. Consolidation Loan Rebate Fee: Enter the amount of the Federal Consolidation Loan Interest 

Payment Rebate Fee being paid at the time this report is submitted. To determine the amount of the Fee for 

the month, add the End-of-Month Principal Balance (see item 6) to the End-of-Month Accrued Interest 

Balance (see item 7). Multiply this sum by 0.0875 percent (that is, .0008750). To this amount, add the Endof-Month Principal Balance (see item 10) to the End-of-Month Accrued Interest Balance (see item 11) and 

then multiplied by .05167 percent (that is, .0005167). Round the resulting product to the nearest dollar if 

desired. Prepare a check for this amount made out to the "U.S. Department of Education," and with the 

notation "Consolidation Loan Rebate Fee." (Refer to the "Where to Submit" paragraph at the beginning of the 

second page of this form for mailing instructions.) Please make sure that the amount reported in this item is 

the same as the amount of the check being submitted.

13. Lender’s Check Number: Enter the number of your check.

14. Lender Name: Enter the name of the lender that holds the Federal Consolidation Loans reported in 

the Consolidation Loan Rebate Fee Report. 

15. Signature: Read the certification statement and sign the form in ink. Forms signed with signature 

stamps and unsigned forms will be returned for a valid signature.

16. Date: Enter the date the form is signed.

17. Typed Name & Title: Type or print (do not write) the name and title of the official signing the form.

18. Contact Name & Phone #: Print the name and the telephone number (including area code) of the 

person who can answer questions from ED about the holder's Federal Consolidation Loan portfolio and about 

this Consolidation Loan Rebate Fee Report. This person may be a representative of the servicer, or 

representative of the lending institution holding the loans.

 Reporting Burden: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information 

unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to 

average 1 hour per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data 

needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or 

retain a benefit (20USC1078-3 and Pub. Law 103-66-4046). Send comments regarding the burden estimate or any other aspect of this 

collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, 

Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1845-0046. If you have comments 

or concerns regarding the status of your individual submission of this form, write directly to U.S. Dept. of Education, 830 First 

Street, N.E., 5th Floor – Lender Reporting, Washington, D.C. 20202.
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 Warning: Although the law does not explicitly state that this information be reported, such reporting is necessary to implement the required 

monthly payments of the Consolidation Loan Rebate Fee (CLRF). Failure to report would be the basis for the initiation of an action to limit, suspend 

or terminate the lender's participation in the Federal Family Education Loan Programs pursuant to 20 U.S.C. Sections 1080, 1082, 1085 and 1094. 

Also, any person who knowingly and willfully destroys or conceals any record relating to the provision of assistance under Title IV of the Higher 

Education Act of 1965, as amended, or attempts to so destroy or conceal with intent to defraud the United States or to prevent the United States from 

enforcing any right obtained by subrogation under Part B of Title IV, shall upon conviction thereof, be fined not more than $20,000 or imprisoned not 

more than 5 years, or both, under the provisions of 20 U.S.C. 1097.