Information Collection

Reporting Manual for the Case Service Report (RSA-911)

IC 186855 under ICR 201110-1820-001 · OMB 1820-0508.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0508 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Reporting Manual for the Case Service Report (RSA-911)	Form and Instruction
Case Service Report (RSA-911) Att_Instructions_911.doc www.ed.gov/policy/speced/guid/rsa/pd/2007/index.html	Form and Instruction

IC Title:

Reporting Manual for the Case Service Report (RSA-911)

Agency IC Tracking Number:

4693

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 361

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	Case Service Report (RSA-911)	Att_Instructions_911.doc	http://www.ed.gov/policy/speced/guid/rsa/pd/2007/index.html	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	3,600	3,600
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.