Information Collection

RSA-722, Annual Report on Appeals Process

IC 187897 under ICR 202402-1820-002 · OMB 1820-0563.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RSA-722 RSA Annual Report on Appeals Process RSA-722, Annual Report on Appeals Process	Form
RSA-722 form with instructions.docx	Instruction
RSA-722 form with instructions.docx	Instruction
RSA-722 RSA Annual Report on Appeals Process RSA 722 Submission Form.docx	Form
RSA-722 RSA Annual Report on Appeals Process RSA 722 Submission Form.docx	Form

IC Title:

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.ED.GOV	Yes	Yes	Fillable Fileable
Form	RSA-722			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	Previously Approved
Annual Number of Responses for this IC	78	78
Annual IC Time Burden (Hours)	156	156
Annual IC Cost Burden (Dollars)	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.

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