Federal Student Aid
Renewal of Private Education Loan Applicant Self-Certification form for use by institutions and private education loan lenders

The Office of Management and Budget (OMB) has approved the attached Private Education Loan Applicant Self-Certification form (Self-Certification form) under OMB Control Number 1845-0101 with no changes from the earlier version of the form.  The expiration date of the form is 8/31/2022 and replaces the previous version with an expiration date of 7/31/2019.

Institutions and private educational lenders may begin utilizing the attached OMB approved Self-Certification form immediately.  The previous version of the Self-Certification form with the expiration date of 7/31/2019 may continue to be distributed until February 29, 2020 and may continue to be accepted after that date.

For further information about use and printing of the form, please review Dear Colleague Letter GEN-13-15 dated June 12, 2013 on Information for Financial Aid Professionals (IFAP).

If you have questions regarding the Self-Certification form or the instructions on the Dear Colleague Letter, please contact Jennifer Hong by email at Jennifer.hong@ed.gov.