Information Collection Request

Case Service Report (RSA-911)

ICR 201608-1820-001 · OMB 1820-0508 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RSA-911 Reporting Manual for the Case Service Report (RSA-911) Form and Instruction Modified Available
Attachment A Supporting Statement - Statute 06-16.docx Supplementary Document Uploaded 2016-06-29 Available
Attachment A Supporting Statement - Statute 05-23-16.doc Supplementary Document Uploaded 2016-06-02 Available
RSA-911 Supporting Statement 06-16.doc Supporting Statement A Uploaded 2016-06-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
186855 Reporting Manual for the Case Service Report (RSA-911) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 11/30/2016
80 0 80
9,600 0 6,500
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Reporting Manual for the Case Service Report (RSA-911) RSA-911 Case Service Report Manual

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 80 80 0 0 0 0
Annual Time Burden (Hours) 9,600 6,500 3,100 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No