Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation and the Government Performance and Results Act (GPRA)

Forms and Documents

Document	Type	Status	Availability
Employers: Employment Verification	Form and Instruction	New	Available
Scholars: Exit Certification	Form and Instruction	New	Repair queued
Scholars: Scholar Training and Employment Record	Form and Instruction	New	Repair queued
Grantees: Exit Certification	Form and Instruction	New	Available
Grantees: Pre-Scholarship Agreement	Form and Instruction	New	Repair queued
Grantees Scholar Record	Form and Instruction	New	Available
Scholar/Obligee Training and Employment Record Form	Form and Instruction	Removed	Repair queued
Exit Certification	Form and Instruction	Removed	Repair queued
Employment Verification Form	Form and Instruction	Removed	Available
Pre-Scholarship Agreement	Form and Instruction	Removed	Available
Scholar/Obligee Record Form	Form and Instruction	Removed	Available
1820-0686 Supporting_Statement Final 2017.docx	Supporting Statement A	Uploaded 2017-05-30	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
226071	Employers: Employment Verification	Form and Instruction	New
226070	Scholars: Exit Certification	Form and Instruction	New
226065	Scholars: Pre-Scholarship Agreement		New
226063	Scholars: Scholar Training and Employment Record	Form and Instruction	New
226059	Grantees: Exit Certification	Form and Instruction	New
226058	Grantees: Pre-Scholarship Agreement	Form and Instruction	New
226057	Grantees Scholar Record	Form and Instruction	New
210564	Scholar/Obligee Training and Employment Record Form	Form and Instruction	Removed
210563	Exit Certification	Form and Instruction	Removed
184865	Employment Verification Form	Form and Instruction	Removed
184864	Pre-Scholarship Agreement	Form and Instruction	Removed
184863	Scholar/Obligee Record Form	Form and Instruction	Removed

ICR Details

OMB Control No: 1820-0686	ICR Reference No: 201703-1820-005
Status: Historical Active	Previous ICR Reference No: 201412-1820-003
Agency/Subagency: ED/OSERS	Agency Tracking No: ED-2017-ICCD-0035
Title: Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation and the Government Performance and Results Act (GPRA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/08/2017
	Date Received in OIRA: 05/31/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	34,523	0	29,600
Time Burden (Hours)	11,313	0	12,269
Cost Burden (Dollars)	0	0	0

---

Abstract: This data collection serves three purposes for the Office of Special Education Program’s Personnel Development Program (PD). First, data from three sources (grantees, scholars, and employers) are necessary to assess the performance of the PDP on its Government Performance Results Act (GPRA) measures. Second, data from all three sources are necessary to determine if scholars comply with the service obligation requirements. And finally, project-specific performance data are collected from PDP grantees for project monitoring and program improvement. The forms in this package are updates to existing Office of Management and Budget approved forms (1820-0686) which expire on 5/31/2017.

---

Authorizing Statute(s): PL: Pub.L. 103 - 62 4 Name of Law: Government Performance and Results Act of 1993
   PL: Pub.L. 108 - 446 662(h)(1) Name of Law: Individuals with Disabilities Education Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 14355	03/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24958	05/31/2017
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Grantees Scholar Record	NA	Grantee Scholar Record
Scholars: Exit Certification	NA	Exit Certification
Employers: Employment Verification	NA	Employment Verification Record
Grantees: Pre-Scholarship Agreement	NA	Pre-Scholarship Agreement
Grantees: Exit Certification	NA	Exit Certification
Scholars: Scholar Training and Employment Record	NA	Scholar Training and Employment Record
Scholars: Pre-Scholarship Agreement
Scholar/Obligee Record Form	N/A	Scholar/Obligee Record Form
Pre-Scholarship Agreement	N/A	Pre-Scholarship Agreement
Employment Verification Form	NA, N/A	Employment Verification Form ,   Employment Verification Form
Exit Certification	N/A	Exit Certification
Scholar/Obligee Training and Employment Record Form	N/A	Scholar/Obligee Training and Employment Form

---

ICR Summary 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	34,523	29,600	0	0	4,923	0
Annual Time Burden (Hours)	11,313	12,269	0	0	-956	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an adjustment increase of 4923 annual burden hours and an adjustment decrease of -956 respondents, by providing a more accurate estimate the burden provided in this information collection request reflects a more accurate estimate.

---

Annual Cost to Federal Government: $818,443

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/31/2017

---