Information Collection Request

Case Service Report (RSA-911)

ICR 201809-1820-002 · OMB 1820-0508 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 911 Reporting Tool for the Case Service Report (RSA-911) Form and Instruction Modified Available
Attachment A Supporting Statement - Statute 05-23-16.doc Supplementary Document Uploaded 2019-02-14 Available
1820-0508 RSA-911 Supporting Statement 30 Day 01-29-19 (4).docx Supporting Statement A Uploaded 2019-02-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
186855 Reporting Tool 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
04/30/2022 36 Months From Approved 08/31/2019
78 0 80
34,446 0 9,600
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Reporting Tool for the Case Service Report (RSA-911) 911 Reporting Tool for the Case Service Report (RSA-911)

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 78 80 0 0 -2 0
Annual Time Burden (Hours) 34,446 9,600 0 24,846 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No