Information Collection Request

Rehabilitation Services Administration (RSA) Payback Information Management System

ICR 202301-1820-001 · OMB 1820-0617 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) State Vocational Rehabilitation (VR) Agency Job Board Posting Form and Instruction New Available
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction New Repair queued
Employment Verification Record Form and Instruction Modified Available
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 Repair queued
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
1820-0617 Supporting Statement (final)_4.5.23.docx Supporting Statement A Uploaded 2023-04-06 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
257788 Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction NewRehabilitation Services Administration (RSA) Payback Information Management System (PIMS) State Vocational Rehabilitation (VR) Agency Job Board Posting
257788 Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction New
232924 Employers: Employment Verification Record Form and Instruction ModifiedEmployment Verification Record
232924 Employers: Employment Verification Record Form and Instruction Modified
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction ModifiedRSA Exit Certificate
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction ModifiedRSA Payback Agreement
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction ModifiedScholar 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 ModifiedRSA Exit Certificate
190462 Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction ModifiedRSA Payback Agreement
190462 Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction ModifiedGrantee Scholar Record
190462 Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 02/28/2025
12,026 0 11,790
4,906 0 4,858
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Employers: Employment Verification Record NA
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System NA, NA, NA ,   ,  
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) N/A
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System NA, NA, NA ,   ,  

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 12,026 11,790 0 236 0 0
Annual Time Burden (Hours) 4,906 4,858 0 48 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No