Information Collection

Request to State VR Agencies

IC 180264 under ICR 200705-1820-008 · OMB 1820-0683.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RSA Letter to Agency Administrator Requesting Contact Information Request to State VR Agencies	Form and Instruction
RSA Letter to Agency Administrator Requesting Contact In Att_APPENDIX F_request to state agencies_03285_5_7_071.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

3285

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A				Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Study of Former Vocational Rehabilitation Consumers' Post-Program Experiences

FR Citation: 72 FR 11340

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	1,951	1,951
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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