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

Case Service Report

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.