Grantee Reporting Form

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
21606	Grantee Reporting Form		Migrated

ICR Details

OMB Control No: 1820-0617	ICR Reference No: 199707-1820-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: ED/OSERS	Agency Tracking No:
Title: Grantee Reporting Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/19/1997
	Date Received in OIRA: 07/23/1997
Terms of Clearance: Approved as amended by ED's memorandum to OMB of 9/10/97. In addition, ED has agreed to meet the following conditions: This Grantee Reporting Form replaces the Rehabilitation Services Administration Training Payback Reporting Form that is currently a part of a separate clearance package (OMB# 1820-0018). Thus, when ED resubmits 1820-0018 for clearance, the Rehabilitation Services Administration Training Payback Reporting Form will be removed from the package; ED will in the next submission of this package (1820-0617) consider the use of RSA staff resources in calculating the cost of this collection to respondents; ED will employ methods for increasing the electronic response rate for this form and will report on progress in this area in the next clearance request; ED will continue to ensure that none of the information requested in the grantee reporting form is duplicated in the Grantee Performance Report; ED will in the next submission consider small colleges and universities as small entities when assessing the impact on small entities. Furthermore, in order to improve utility prior to distribution: ED will eliminate the "Place of Employment" category; ED will change the instruction for the "Acceptable Place of Employment" category to "Report the acceptable place of employment as a State agency, non-profit service provider, or practice group, etc. If place of employment is not acceptable, e.g. the location does not meet payback requirements, then enter N/A."; ED will eliminate the "Date Work Must Be Completed" category; ED will include the "Date Work Must Begin" category; ED, when referring respondent to a regulation or manual in this form, will cite to the specific regulation or manual; ED will fix the instructions on page 3 of the form so that they no longer run off the page.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2000	09/30/2000
Responses	165	0	0
Time Burden (Hours)	165	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: RSA training grants provide stipends to "RSA Scholars" in order to train skilled rehabilitation personnel. Grantees are required to "track" scholars relative to the "payback" provision in the Rehabilitation Act. Data collection is reported annually to RSA in order to monitor performance and report progress to Congress.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Grantee Reporting Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	165	0	0	165	0	0
Annual Time Burden (Hours)	165	0	0	165	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/23/1997

---