Information Collection Request

Grantee Reporting Form -Rehabilitation Services Administration (RSA) Annual Payback Report

ICR 201208-1820-003 · OMB 1820-0617 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1820-0617 (04877) Payback suppstatpt.doc Supporting Statement A Uploaded 2012-08-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
190462 RSA Annual Payback Report Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2015 36 Months From Approved 12/31/2012
350 0 350
350 0 400
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
RSA Annual Payback Report N/A, N/A RSA Annual Payback Report (Screenshots)

table that charts list 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 350 350 0 0 0 0
Annual Time Burden (Hours) 350 400 0 -50 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No