Grantee Reporting Form -Rehabilitation Services Administration (RSA) Annual Payback Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Employment Verification Record	Form and Instruction	Modified	Repair queued
Employers: Employment Verification Record	Form and Instruction	Modified	Repair queued
RSA Exit Certificate	Form and Instruction	Modified	Available
RSA Payback Agreement	Form and Instruction	Modified	Available
Scholar Training and Employment Record	Form and Instruction	Modified	Available
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	Repair queued
RSA Exit Certificate	Form and Instruction	Modified	Available
RSA Payback Agreement	Form and Instruction	Modified	Available
Grantee Scholar Record	Form and Instruction	Modified	Available
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	Repair queued
ED-2021-SCC-0163_attachment_1 - Supporting Statement 1820-0617 - 1-19-22.docx	Supporting Statement A	Uploaded 2022-01-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232924	Employers: Employment Verification Record	Form and Instruction	Modified	Employment Verification Record
232924	Employers: Employment Verification Record	Form and Instruction	Modified
232923	Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	RSA Exit Certificate
232923	Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	RSA Payback Agreement
232923	Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	Scholar Training and Employment Record
232923	Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified
190462	Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	RSA Exit Certificate
190462	Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	RSA Payback Agreement
190462	Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified	Grantee Scholar Record
190462	Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	Form and Instruction	Modified

ICR Details

OMB Control No: 1820-0617	ICR Reference No: 202111-1820-001
Status: Historical Active	Previous ICR Reference No: 201809-1820-001
Agency/Subagency: ED/OSERS	Agency Tracking No: ED-2021-SCC-0163
Title: Grantee Reporting Form -Rehabilitation Services Administration (RSA) Annual Payback Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/28/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/25/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2025	36 Months From Approved	02/28/2022
Responses	11,790	0	11,790
Time Burden (Hours)	4,858	0	4,858
Cost Burden (Dollars)	0	0	0

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Abstract: P.L. 114-95, section 302 (b) of the Rehabilitation Act of 1973, as amended by the Workforce Innovation and Opportunity Act (WIOA), the Rehabilitation Services Administration (RSA) provides Long-Term Training grants to academic institutions to support scholarship assistance to students. Students who receive scholarships under this program are required to work within the public rehabilitation program, such as with a state vocational rehabilitation agency, or an agency or organization that has a service arrangement with a state vocational rehabilitation agency. The student is expected to work two years in such settings for every year of full-time scholarship support. The program regulations at 34 CFR 386.33-386.35 and 386.40-386.43 detail the payback provisions and the RSA scholars' requirements to comply with them. Section 302 (b)(2)(C) of the Act requires tracking of scholars’ employment status and location of former scholars supported under the grants in order to ensure that students are meeting the payback requirement. Scholars must provide requested information necessary to meet the exit certification requirements. In addition to meeting the requirement that all scholars be tracked, the information collected will provide performance data relevant to the rehabilitation fields and degrees pursued by RSA scholars, as well as the funds owed and the rehabilitation work completed by them. These data are used to assess program effectiveness and efficiency, and to meet the reporting requirements of P.L. 103-62 section 4 of the Government Performance and Results Act (GPRA). RSA is requesting an extension of the currently approved collection for grantees (Institutions of Higher Education), scholars, and employers to submit data electronically through the online RSA Payback Information Management System (PIMS). There is no substantial change in the proposed data collected, nor estimated burden required to report data using the PIMS system.

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Authorizing Statute(s): PL: Pub.L. 114 - 95 302(b) Name of Law: Rehabilitation Act of 1973, as Amended
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 64915	11/19/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 3787	01/25/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Employers: Employment Verification Record	NA	Employment Verification Record
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System	NA, NA, NA	Grantee Scholar Record ,   RSA Payback Agreement ,   RSA Exit Certificate
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System	NA, NA, NA	Scholar Training and Employment Record ,   RSA Payback Agreement ,   RSA Exit Certificate

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ICR Summary of Burden

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	11,790	11,790	0	0	0	0
Annual Time Burden (Hours)	4,858	4,858	0	0	0	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:

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Annual Cost to Federal Government: $382,694

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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Common Form ICR:  No

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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: 01/25/2022

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