Information Collection Request

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

ICR 202111-1820-001 · OMB 1820-0617 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Employers: Employment Verification Record Form and Instruction Modified Repair queued
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction Modified Repair queued
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 IDCollectionTypeStatusForm
232924 Employers: Employment Verification Record Form and Instruction Modified
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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 02/28/2022
11,790 11,790
4,858 4,858
0 0





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 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


Reginfo record details
  No