Information Collection Request

Case Service Report (RSA-911)

ICR 202012-1820-001 · OMB 1820-0508 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 911 Case Service Report (RSA-911) Form and Instruction Modified Repair queued
RSA 9-11 Comment Analysis 03-30-21 FINAL.docx Supplementary Document Uploaded 2021-03-31 Repair queued
Supporting Statement Part A RSA-911 04-01-21 FINAL.docx Supporting Statement A Uploaded 2021-04-01 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
312 78
34,446 34,446
0 0





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

table that charts list of burden
  Total Request 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 312 78 0 0 234 0
Annual Time Burden (Hours) 34,446 34,446 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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