Public Service Loan Forgiveness (Pslf): Employment Certification Form (Page 10 of 10) in pdf

SECTION 9: IMPORTANT NOTICES

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

agencies or to financial and educational institutions. To

counsel you in repayment efforts, disclosures may be

requires that the following notice be provided to you:

made to guaranty agencies, to financial and educational

The authorities for collecting the requested information

institutions, or to federal, state, or local agencies.

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

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

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

Department of Justice, a court, adjudicative body, counsel,

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

authorities for collecting and using your Social Security

party, or witness if the disclosure is relevant and necessary

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

to the litigation. If this information, either alone or with

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

other information, indicates a potential violation of law,

Participating in the Federal Family Education Loan (FFEL)

we may send it to the appropriate authority for action. We

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

may send information to members of Congress if you ask

them to help you with federal student aid questions. In

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

circumstances involving employment complaints,

you must provide the requested information, including

your SSN, to participate.

grievances, or disciplinary actions, we may disclose

relevant records to adjudicate or investigate the issues. If

The principal purposes for collecting the information on

provided for by a collective bargaining agreement, we may

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

disclose records to a labor organization recognized under

to determine your eligibility to receive a loan or a benefit

5 U.S.C. Chapter 71. Disclosures may be made to our

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

contractors for the purpose of performing any

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

programmatic function that requires disclosure of records.

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

Before making any such disclosure, we will require the

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

contractor to maintain Privacy Act safeguards. Disclosures

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

may also be made to qualified researchers under Privacy

also use your SSN as an account identifier and to permit

Act safeguards.

you to access your account information electronically.

Paperwork Reduction Notice. According to the Paperwork

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

Reduction Act of 1995, no persons are required to

by-case basis or under a computer matching program, to

respond to a collection of information unless such

third parties as authorized under routine uses in the

collection displays a valid OMB control number. The valid

appropriate systems of records notices. The routine uses

OMB control number for this information collection is

of this information include, but are not limited to, its

1845-0110. Public reporting burden for this collection of

disclosure to federal, state, or local agencies, to private

information is estimated to average 30 minutes per

parties such as relatives, present and former employers,

response, including time for reviewing instructions,

business and personal associates, to consumer reporting

searching existing data sources, gathering and maintaining

agencies, to financial and educational institutions, and to

the data needed, and completing and reviewing the

guaranty agencies in order to verify your identity, to

collection of information. The obligation to respond to this

determine your eligibility to receive a loan or a benefit on

collection is required to obtain a benefit in accordance

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

with 34 CFR 685.219. If you have comments or concerns

to enforce the terms of the loan(s), to investigate possible

regarding the status of your individual submission of this

fraud and to verify compliance with federal student

form, please contact FedLoan Servicing directly (see

financial aid program regulations, or to locate you if you

Section 7).

become delinquent in your loan payments or if you

default. To provide default rate calculations, disclosures

may be made to guaranty agencies, to financial and

educational institutions, or to state agencies. To provide

financial aid 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 statuses, disclosures may be made to guaranty

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Public Service Loan Forgiveness (Pslf): Employment Certification Form Page 10

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