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Supporting Statement

Information Collection for 1845-0059

William D. Ford Federal Direct Loan Program

Federal Family Education Loan Program

Teacher Loan Forgiveness Forms

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 copy of the appropriate section 

of each statute and regulation mandating or authorizing the collection of information.

Sections 428J and 460 of the Higher Education Act of 1965, as amended (HEA) provide for teacher loan 

forgiveness in the Federal Family Education Loan (FFEL) Program and the William D. Ford Federal Direct 

Loan (Direct Loan) Program. Borrowers who teach for five consecutive years at schools or educational 

service agencies serving low-income families and meet certain other requirements may receive up to 

$17,500 in loan forgiveness. The teacher loan forgiveness regulations at 34 CFR 682.216 (for the FFEL 

Program) and 34 CFR 685.217 (for the Direct Loan Program) require borrowers to provide their loan 

holders with documentation establishing their eligibility for teacher loan forgiveness and for teacher 

loan forgiveness forbearance.

2. Indicate 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 Teacher Loan Forgiveness Application included in this submission will be used by loan holders to 

collect information needed to determine whether a borrower is eligible for teacher loan forgiveness 

based on qualifying teaching service. A borrower applies for teacher loan forgiveness by completing the 

application and returning it to his or her loan holder. The Chief Administrative Officer(s) of the school(s) 

or educational service agency(ies) where the borrower performed the qualifying teaching service must 

certify the borrower’s application. 

The Teacher Loan Forgiveness Forbearance Request included in this submission will be used by loan 

holders to collect information needed to determine whether a borrower is eligible for forbearance on 

the borrower’s outstanding federal student loans during the period when the borrower is performing 

the qualifying teaching service. During the five years of required teaching, a borrower may apply 

annually for forbearance on the loans for which he or she is seeking forgiveness if the loan forgiveness 

amount for which the borrower qualifies will satisfy the anticipated outstanding balance on the 

borrower’s loans upon completion of the qualifying teaching service. A borrower applies for forbearance 

by completing the form and returning it to the borrower’s loan holder. This form is self-certifying. 

The U.S. Department of Education (ED) is requesting a revision of the currently approved forms. 

Although ED is not making any substantive changes to the language in either of the two currently 
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approved forms, and there are no changes to the data elements, we have reformatted and reorganized 

the forms to make them easier for borrowers to read. 

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 any consideration given to using technology to reduce 

burden.

Since the Teacher Loan Forgiveness Application requires a borrower’s signature and a signed 

certification from the chief administrative officer of the borrower’s school or educational service agency, 

the United States Postal Service currently provides the only feasible means for borrowers to return 

completed applications to their loan holders. 

However, the Teacher Loan Forgiveness Forbearance Form requires only the borrower's signature. 

Therefore, loan holders may allow borrowers to submit the forbearance form electronically.

4. Describe efforts to identify duplication. Show specifically why any similar information already 

available cannot be used or modified for use for the purposes described in Item 2 above.

There is no information available from other sources that can be used for the purpose described in Item 

2 of this supporting document.

5. If the collection of information impacts small businesses or other small entities (Item 8b of IC Data 

Part 2), describe any methods used to minimize burden.

No small businesses are affected by this information collection.

6. Describe the consequences to Federal program or policy activities if the collection is not conducted 

or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.

The data must be collected to determine a borrower’s eligible for teacher loan forgiveness. Without the 

collection of this data, a borrower could not receive the benefit of loan forgiveness.

The regulations in 34 CFR Parts 682.216 and 685.217 require a borrower to apply for loan forgiveness 

with his or her loan holder. Therefore, a borrower who is seeking forgiveness of multiple loans that are 

with different holders may be required to complete more than one Teacher Loan Forgiveness 

Application or Teacher Loan Forgiveness Forbearance Request. 

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 quarterly;

 requiring respondents to prepare a written response to a collection of information in fewer 

than 30 days after receipt of it;

 requiring respondents to submit more than an original and two copies of any document;
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 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 designed 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 

by OMB;

 that includes a pledge of confidentiality that is not supported 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 unnecessarily impedes sharing of data with other agencies 

for compatible confidential use; or

 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 information collection does not involve any of the conditions listed in 5 CFR 1320.5(d)(2).

8. If applicable, provide a copy and identify the date and page number of publication in the Federal 

Register of the agency’s notice, required by 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 by the agency in response to these comments. Specifically address 

comments received on cost and hour burden.

Describe efforts to consult with persons outside the agency to obtain their views on the availability of 

data, frequency of collection, the clarity of instruction and record keeping, disclosure, or reporting 

format (if any), and on the data elements to be recorded, disclosed, or reported.

Consultation with representatives 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.

The paperwork clearance process will provide the public with two opportunities to submit comments on 

the revised forms included with this submission. The public will be notified of the opportunity to 

comment through notices published in the Federal Register.

9. Explain any decision to provide any payment or gift to respondents, other than remuneration of 

contractors or grantees.

No payments or gifts will be provided to the respondents.

10. Describe any assurance of confidentiality provided to respondents and the basis for the assurance 

in statute, regulation, or agency policy.

These teacher loan forgiveness forms include a Privacy Act Disclosure Notice that (1) informs the 

borrower of the statutory authority for collecting the information; (2) explains that the disclosure of the 

information is voluntary, but that it is required in order for the borrower to be considered for the 

forgiveness; and (3) identifies the third parties to whom the information may be disclosed and explains 

the circumstances under which such disclosures may occur.
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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 why 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.

These teacher loan forgiveness forms do not contain any sensitive questions.

12. Provide estimates of the hour burden of the collection of information. The statement should :

 Indicate the number of respondents, frequency of response, annual hour burden, and an 

explanation of how the burden was estimated. Unless directed to do so, agencies should 

not conduct special surveys 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 widely because of 

differences in activity, size, or complexity, show the range of estimated hour burden, and 

explain the reasons for the variance. Generally, 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 item 16 of IC Data Part 1.

 Provide estimates of annualized cost to respondents of the hour burdens for collections of 

information, 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 total estimated annual reporting hour burden for this information collection is approximately 2,871 

hours (2,640 for the application and 231 for the forbearance form) for the Direct Loan Program and the 

FFEL Program. The burden estimate was calculated as follows:

Teacher Loan Forgiveness Application

Estimated annual number of respondents: 8,000

Number of responses per borrower: x 1

Hours per response: x 0.33 (20 minutes)

Annual hour burden: 2,640 hours

Teacher Loan Forgiveness Forbearance Request

Estimated annual number of respondents: 700

Number of responses per borrower: x 1

Hours per response: x 0.33 (20 minutes)

Annual hour burden: 231 hours
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There is an annual estimated cost to respondents of $4,263.00. This represents the total of the annual 

cost estimates for loan forgiveness application and forbearance request. The cost estimate for each 

form was calculated as follows:

Teacher Loan Forgiveness Application

Respondents 8,000

Responses x 1

Postage cost per response x $0.49

Annual cost burden $3,920.00

Teacher Loan Forgiveness Forbearance Request

Respondents 700

Responses x 1

Postage cost per response x $0.49

Annual cost burden $343.00

13. Provide an estimate 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 capital 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 system and 

technology acquisition, expected useful life of capital equipment, the discount rate(s), and the 

time period over which costs will be incurred. 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 facilities.

 If cost estimates are expected to vary widely, 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 preOMB submission public comment process and use existing economic or regulatory impact 

analysis associated with the rulemaking containing 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.
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Total Annualized Capital/Startup Cost:

Total Annual Costs (O&M):

______

Total Annualized Costs Requested:

There are no capital/startup costs to respondents, nor are there any annual costs to respondents 

associated with operating or maintaining systems or purchasing services.

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 table.

There is no significant annualized cost to the federal government. For the Direct Loan Program, ED’s

with its Direct Loan servicers are not based on a fee-for-service model; rather, ED pays its servicers

based on performance metrics. For the FFEL Program, there is no significant cost associated with this 

collection, since FFEL Program loan holders distribute the forms, collect the information, and process 

the loan forgiveness and forbearance requests. The government incurs no additional cost merely as a 

result of this information collection.

15. Explain the reasons for any program changes or adjustments to #16f of the IC Data Part 1 Form.

ED is not reporting any substantive changes in the language of either form, but both forms have been 

reformatted and reorganized to make them easier for borrowers to read. 

16. For collections of information whose results will be published, outline plans for tabulation and

publication. Address any complex analytical 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 actions.

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 this approval.

18. Explain each exception to the certification statement identified in the Certification of Paperwork 

Reduction Act.

ED is not requesting any exceptions to the "Certification for Paperwork Reduction Act Submissions" of 

OMB Form 83-I.

B. Collection of Information Employing Statistical Methods

This information collection does not employ statistical methods.