Information Collection

RSA Annual Payback Report

IC 190462 under ICR 201208-1820-003 · OMB 1820-0617.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0617 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1820-0617 (04877) RSA Payback MIS manual.doc	Instruction
RSA Annual Payback Report (Screenshots) 1820-0617 (04877) RSA Annual Payback Report Screenshots.docx	Form

IC Title:

RSA Annual Payback Report

Agency IC Tracking Number:

04877

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 386.33-386.35 34 CFR 386.40-386.43

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
Instruction			1820-0617 (04877) RSA Payback MIS manual.doc		Yes	Yes	Fillable Fileable
Form	N/A	RSA Annual Payback Report (Screenshots)	1820-0617 (04877) RSA Annual Payback Report Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	0	350
Annual IC Time Burden (Hours)	350	-50	400
Annual IC Cost Burden (Dollars)	0	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.