Information Collection

RSA-722, Annual Report on Appeals Process

IC 187897 under ICR 202012-1820-002 · OMB 1820-0563.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0563 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RSA-722 instructions.docx RSA.ED.GOV	Instruction
RSA-722 instructions.docx RSA.ED.GOV	Instruction
RSA-722 RSA Annual Report on Appeals Process RSA 722 Form 12-11-20 FINAL.docx RSA.ED.GOV	Form
RSA-722 RSA Annual Report on Appeals Process RSA 722 Form 12-11-20 FINAL.docx RSA.ED.GOV	Form

IC Title:

RSA-722, Annual Report on Appeals Process

Agency IC Tracking Number:

ED-2017-ICCD-0158

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			RSA-722 instructions.docx	RSA.ED.GOV	Yes	Yes	Fillable Fileable
Form	RSA-722	RSA Annual Report on Appeals Process	RSA 722 Form 12-11-20 FINAL.docx	RSA.ED.GOV	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 78

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	78	-1	79
Annual IC Time Burden (Hours)	156	-2	158
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.