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