Economic Hardship Deferment Request Page 4
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4SECTION 6: WHERE TO SEND THE COMPLETED DEFERMENT REQUEST
Return the completed form and any documentation to:
If you need help completing this form, call:
(If no address is shown, return to your loan holder.)
(If no phone number is shown, call your loan holder.)
Navient - Department of Education Loan Servicing
(800) 722-1300
PO Box 9635
Wilkes-Barre, PA 18773-9635
SECTION 7: IMPORTANT NOTICES
Privacy Act Notice. The Privacy Act of 1974 (5 U.S.C. 552a)
To assist program administrators with tracking refunds
requires that the following notice be provided to you:
and cancellations, disclosures may be made to guaranty
agencies, to financial and educational institutions, or to
The authorities for collecting the requested information
federal or state agencies. To provide a standardized method
from and about you are §421 et seq., §451 et seq., or §461 of
for educational institutions to efficiently submit student
the Higher Education Act of 1965, as amended (20 U.S.C. 1071
enrollment statuses, disclosures may be made to guaranty
et seq., 20 U.S.C. 1087a et seq., or 20 U.S.C. 1087aa et seq.) and
agencies or to financial and educational institutions. To
the authorities for collecting and using your Social Security
counsel you in repayment efforts, disclosures may be made
Number (SSN) are §§428B(f) and 484(a)(4) of the HEA (20
to guaranty agencies, to financial and educational
U.S.C. 1078-2(f) and 1091(a)(4)) and 31 U.S.C. 7701(b).
institutions, or to federal, state, or local agencies.
Participating in the William D. Ford Federal Direct Loan (Direct
Loan) Program, Federal Family Education Loan (FFEL)
In the event of litigation, we may send records to the
Program, or Federal Perkins Loan (Perkins Loan) Program and
Department of Justice, a court, adjudicative body, counsel,
giving us your SSN are voluntary, but you must provide the
party, or witness if the disclosure is relevant and necessary
requested information, including your SSN, to participate.
to the litigation. If this information, either alone or with
other information, indicates a potential violation of law, we
The principal purposes for collecting the information on
may send it to the appropriate authority for action. We may
this form, including your SSN, are to verify your identity, to
send information to members of Congress if you ask them
determine your eligibility to receive a loan or a benefit on a
to help you with federal student aid questions. In
loan (such as a deferment, forbearance, discharge, or
circumstances involving employment complaints,
forgiveness) under the Direct Loan, FFEL, or Federal Perkins
grievances, or disciplinary actions, we may disclose relevant
Loan Programs, to permit the servicing of your loans, and, if it
records to adjudicate or investigate the issues. If provided
becomes necessary, to locate you and to collect and report on
for by a collective bargaining agreement, we may disclose
your loans if your loans become delinquent or default. We also
records to a labor organization recognized under 5 U.S.C.
use your SSN as an account identifier and to permit you to
Chapter 71. Disclosures may be made to our contractors for
access your account information electronically.
the purpose of performing any programmatic function that
The information in your file may be disclosed, on a case-
requires disclosure of records. Before making any such
by-case basis or under a computer matching program, to third
disclosure, we will require the contractor to maintain Privacy
parties as authorized under routine uses in the appropriate
Act safeguards. Disclosures may also be made to qualified
systems of records notices. The routine uses of this
researchers under Privacy Act safeguards.
information include, but are not limited to, its disclosure to
Paperwork Reduction Notice. According to the
federal, state, or local agencies, to private parties such as
Paperwork Reduction Act of 1995, no persons are required
relatives, present and former employers, business and
to respond to a collection of information unless such
personal associates, to consumer reporting agencies, to
collection displays a valid OMB control number. The valid
financial and educational institutions, and to guaranty
OMB control number for this information collection is
agencies in order to verify your identity, to determine your
1845-0011. Public reporting burden for this collection of
eligibility to receive a loan or a benefit on a loan, to permit the
information is estimated to average 10 minutes per
servicing or collection of your loans, to enforce the terms of
response, including time for reviewing instructions,
the loans, to investigate possible fraud and to verify
searching existing data sources, gathering and maintaining
compliance with federal student financial aid program
the data needed, and completing and reviewing the
regulations, or to locate you if you become delinquent in your
collection of information. The obligation to respond to this
loan payments or if you default. To provide default rate
collection is required to obtain a benefit in accordance with
calculations, disclosures may be made to guaranty agencies,
34 CFR 674.34, 674.35, 674.36, 674.37, 682.210, or 685.204. If
to financial and educational institutions, or to state agencies.
you have comments or concerns regarding the status of
To provide financial aid history information, disclosures may
your individual submission of this form, please contact your
be made to educational institutions.
loan holder directly (see Section 6).
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