Public Service Loan Forgiveness (Pslf): Employment Certification Form Page 6
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6SECTION 9: IMPORTANT NOTICES
Privacy Act Notice. The Privacy Act of 1974 (5 U.S.C.
To assist program administrators with tracking
552a) requires that the following notice be provided to you:
refunds and cancellations, disclosures may be made to
guaranty agencies, to financial and educational institutions,
The authorities for collecting the requested
or to federal or state agencies. To provide a standardized
information from and about you are §421 et seq., §451 et
method for educational institutions to efficiently submit
seq., or §461 of the Higher Education Act of 1965, as
student enrollment statuses, disclosures may be made to
amended (20 U.S.C. 1071 et seq., 20 U.S.C. 1087a et seq., or
guaranty agencies or to financial and educational
20 U.S.C. 1087aa et seq.) and the authorities for collecting
institutions. To counsel you in repayment efforts, disclosures
and using your Social Security Number (SSN) are §§428B(f)
may be made to guaranty agencies, to financial and
and 484(a)(4) of the HEA (20 U.S.C. 1078-2(f) and 1091(a)(4))
educational institutions, or to federal, state, or local
and 31 U.S.C. 7701(b). Participating in the William D. Ford
agencies.
Federal Direct Loan (Direct Loan) Program, Federal Family
Education Loan (FFEL) Program, or Federal Perkins Loan
In the event of litigation, we may send records to the
(Perkins Loan) Program and giving us your SSN are
Department of Justice, a court, adjudicative body, counsel,
voluntary, but you must provide the requested information,
party, or witness if the disclosure is relevant and necessary
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
may send it to the appropriate authority for action. We may
information on this form, including your SSN, are to verify
send information to members of Congress if you ask them
your identity, to determine your eligibility to receive a loan
to help you with federal student aid questions. In
or a benefit on a loan (such as a deferment, forbearance,
circumstances involving employment complaints,
discharge, or forgiveness) under the Direct Loan, FFEL, or
grievances, or disciplinary actions, we may disclose relevant
Federal Perkins Loan Programs, to permit the servicing of
records to adjudicate or investigate the issues. If provided
your loans, and, if it becomes necessary, to locate you and
for by a collective bargaining agreement, we may disclose
to collect and report on your loans if your loans become
records to a labor organization recognized under 5 U.S.C.
delinquent or default. We also use your SSN as an account
Chapter 71. Disclosures may be made to our contractors for
identifier and to permit you to access your account
the purpose of performing any programmatic function that
information electronically.
requires disclosure of records. Before making any such
The information in your file may be disclosed, on a
disclosure, we will require the contractor to maintain Privacy
case-by-case basis or under a computer matching program,
Act safeguards. Disclosures may also be made to qualified
to third parties as authorized under routine uses in the
researchers under Privacy Act safeguards.
appropriate systems of records notices. The routine uses of
Paperwork Reduction Notice. According to the
this information include, but are not limited to, its disclosure
Paperwork Reduction Act of 1995, no persons are required
to federal, state, or local agencies, to private parties such as
to respond to a collection of information unless such
relatives, present and former employers, business and
collection displays a valid OMB control number. The valid
personal associates, to consumer reporting agencies, to
OMB control number for this information collection is
financial and educational institutions, and to guaranty
1845-0110. Public reporting burden for this collection of
agencies in order to verify your identity, to determine your
information is estimated to average 30 minutes per
eligibility to receive a loan or a benefit on a loan, to permit
response, including time for reviewing instructions,
the servicing or collection of your loans, to enforce the
searching existing data sources, gathering and maintaining
terms of the loans, to investigate possible fraud and to verify
the data needed, and completing and reviewing the
compliance with federal student financial aid program
collection of information. The obligation to respond to this
regulations, or to locate you if you become delinquent in
collection is required to obtain a benefit in accordance with
your loan payments or if you default. To provide default rate
34 CFR 685.219. If you have comments or concerns
calculations, disclosures may be made to guaranty agencies,
regarding the status of your individual submission of this
to financial and educational institutions, or to state
form, please contact your loan holder directly (see Section
agencies. To provide financial aid history information,
7).
disclosures may be made to educational institutions.
Page 6 of 6
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