Fillable Income-Driven Repayment Plan Request (Page 12 of 12) in pdf

SECTION 12: IMPORTANT NOTICES

Privacy Act Notice. The Privacy Act of 1974 (5 U.S.C. 552a)

may be made to guaranty agencies or to financial and

requires that the following notice be provided to you:

educational institutions. To counsel you in repayment

efforts, disclosures may be made to guaranty agencies,

The authorities for collecting the requested information

to financial and educational institutions, or to federal,

from and about you are §421 et seq. and §451 et seq. of

state, or local agencies.

the Higher Education Act of 1965, as amended (20 U.S.C.

1071 et seq. and 20 U.S.C. 1087a et seq.), and the

In the event of litigation, we may send records to the

authorities for collecting and using your Social Security

Department of Justice, a court, adjudicative body,

Number (SSN) are §§428B(f) and 484(a)(4) of the HEA (20

counsel, party, or witness if the disclosure is relevant

U.S.C. 1078-2(f) and 1091(a)(4)) and 31 U.S.C. 7701(b).

and necessary to the litigation. If this information,

Participating in the Federal Family Education Loan (FFEL)

either alone or with other information, indicates a

Program or the William D. Ford Federal Direct Loan (Direct

potential violation of law, we may send it to the

Loan) Program and giving us your SSN are voluntary, but

appropriate authority for action. We may send

you must provide the requested information, including

information to members of Congress if you ask them to

your SSN, to participate.

help you with federal student aid questions. In

circumstances involving employment complaints,

The principal purposes for collecting the information on

grievances, or disciplinary actions, we may disclose

this form, including your SSN, are to verify your identity, to

relevant records to adjudicate or investigate the issues.

determine your eligibility to receive a loan or a benefit on a

If provided for by a collective bargaining agreement,

loan (such as a deferment, forbearance, discharge, or

we may disclose records to a labor organization

forgiveness) under the FFEL and/or Direct Loan Programs,

recognized under 5 U.S.C. Chapter 71. Disclosures may

to permit the servicing of your loan(s), and, if it becomes

be made to our contractors for the purpose of

necessary, to locate you and to collect and report on your

performing any programmatic function that requires

loan(s) if your loan(s) becomes delinquent or defaults. We

disclosure of records. Before making any such

also use your SSN as an account identifier and to permit

disclosure, we will require the contractor to maintain

you to access your account information electronically.

Privacy Act safeguards. Disclosures may also be made

The information in your file may be disclosed, on a case-by-

to qualified researchers under Privacy Act safeguards.

case basis or under a computer matching program, to third

Paperwork Reduction Notice. According to the

parties as authorized under routine uses in the appropriate

Paperwork Reduction Act of 1995, no persons are

systems of records notices. The routine uses of this

required to respond to a collection of information

information include, but are not limited to, its disclosure to

unless it displays a currently valid OMB control

federal, state, or local agencies, to private parties such as

number. The valid OMB control number for this

relatives, present and former employers, business and

information collection is 1845-0102. Public reporting

personal associates, to consumer reporting agencies, to

burden for this collection of information is estimated to

financial and educational institutions, and to guaranty

average 20 minutes (0.33 hours) per response,

agencies in order to verify your identity, to determine your

including the time for reviewing instructions, searching

eligibility to receive a loan or a benefit on a loan, to permit

existing data resources, gathering and maintaining the

the servicing or collection of your loan(s), to enforce the

data needed, and completing and reviewing the

terms of the loan(s), to investigate possible fraud and to

information collection. Individuals are obligated to

verify compliance with federal student financial aid

respond to this collection to obtain a benefit in

program regulations, or to locate you if you become

accordance with 34 CFR 682.215, 685.209, or 685.221.

delinquent in your loan payments or if you default. To

provide default rate calculations, disclosures may be made

If you have questions regarding the status of your

to guaranty agencies, to financial and educational

individual submission of this form, contact your loan

institutions, or to state agencies. To provide financial aid

holder (see Section 7).

history information, disclosures may be made to

educational institutions. To assist program administrators

with tracking refunds and cancellations, disclosures may be

made to guaranty agencies, to financial and educational

institutions, or to federal or state agencies. To provide a

standardized method for educational institutions to

efficiently submit student enrollment status, disclosures,

Page 12 of 12

Income-Driven Repayment Plan Request Page 12

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