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⚠️ Notice: This information collection may be referencing outdated material.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
1820-0508 RSA 911 Instructions-Final.docx Instruction

Information Collection (IC) Details

IC Title:	Reporting Manual for the Case Service Report (RSA-911)	Agency IC Tracking Number:

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
Instruction			1820-0508 RSA 911 Instructions-Final.docx		Yes	Yes	Printable Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: RSA-911 Case Service Report	FR Citation: 69 FR 18724

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	80	0	80
Annual IC Time Burden (Hours)	6,500	2,900	3,600
Annual IC Cost Burden (Dollars)	0	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.