Case Service Report

ICR 200307-1820-002

OMB: 1820-0508

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
21488 Migrated
ICR Details
1820-0508 200307-1820-002
Historical Active 200003-1820-001
ED/OSERS
Case Service Report
Reinstatement without change of a previously approved collection   No
Regular
Approved with change 09/04/2003
Retrieve Notice of Action (NOA) 07/10/2003
Approved consistent with change listed in ED RSA Memo dated 9/4/2003, regarding listed hour burden. Upon resubmission of this information collection, RSA will provide OMB with a timeline regarding the implementation of new changes, and also provide OMB with the guidelines and criteria for reasonableness checks.
  Inventory as of this Action Requested Previously Approved
05/31/2004 05/31/2004
80 0 0
3,600 0 0
0 0 0

As required by Sections 13, 101(a)(10), 106 and 626 of the Rehabilitation Act, as amended, the data are submitted annually by State VR agencies. The data contain personal and program- related characteristics, including economic outcomes of persons with disabilities whose case records are closed.

None
None


No

1
IC Title Form No. Form Name
Case Service Report RSA-911

  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 80 0 0 80 0 0
Annual Time Burden (Hours) 3,600 0 0 3,600 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/10/2003


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