Employers: Employment Verification Record

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

OMB: 1820-0617

IC ID: 232924

Information Collection (IC) Details

View Information Collection (IC)

Employers: Employment Verification Record ED-2018-ICCD-0094
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Employment Verification Record RSA PIMS Employment Verification Record ICR Package 1820-0617 (final).docx PIMS Yes Yes Fillable Fileable

Education Higher Education

Privacy Act of 1974; System of Records   84 FR 32889

3,600 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,600 0 0 0 0 3,600
Annual IC Time Burden (Hours) 612 0 0 0 0 612
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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