Information Collection Request

Rehabilitation Services Administration (RSA) Payback Information Management System

ICR 202505-1820-005 · OMB 1820-0617 · Active

Forms and Documents
DocumentTypeStatusAvailability
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) State Vocational Rehabilitation (VR) Agency Job Board Posting Form and Instruction Unchanged Repair queued
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction Unchanged Repair queued
Employment Verification Record Form and Instruction Unchanged Available
Employers: Employment Verification Record Form and Instruction Unchanged Repair queued
RSA Exit Certificate Form and Instruction Unchanged Available
RSA Payback Agreement Form and Instruction Unchanged Repair queued
Scholar Training and Employment Record Form and Instruction Unchanged Available
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction Unchanged Missing upstream
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
OMB-OSERS-ICR-Non-substantive_group-request (05.09.2025).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-16 Available
OMB-OSERS-ICR-Non-substantive_group-request (05.09.2025).docx Justification for No Material/Nonsubstantive Change Uploaded 2025-05-16 Repair queued
RSA PIMS Scholar Record 1820-0617 Redline.docx Supplementary Document Uploaded 2025-05-16 Available
RSA PIMS Scholar Record 1820-0617 Redline.docx Supplementary Document Uploaded 2025-05-16 Repair queued
1820-0617 Supporting Statement (final)_4.5.23.docx Supporting Statement A Uploaded 2023-04-06 Repair queued
1820-0617 Supporting Statement (final)_4.5.23.docx Supporting Statement A Uploaded 2023-04-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
257788 Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction UnchangedRehabilitation 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 Unchanged
232924 Employers: Employment Verification Record Form and Instruction UnchangedEmployment Verification Record
232924 Employers: Employment Verification Record Form and Instruction Unchanged
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction UnchangedRSA Exit Certificate
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction UnchangedRSA Payback Agreement
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction UnchangedScholar Training and Employment Record
232923 Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction Unchanged
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
1820-0617 202505-1820-005
Active 202301-1820-001
ED/OSERS
Rehabilitation Services Administration (RSA) Payback Information Management System
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 06/18/2025
Retrieve Notice of Action (NOA) 05/19/2025
  Inventory as of this Action Requested Previously Approved
05/31/2026 05/31/2026 05/31/2026
12,026 0 12,026
4,906 0 4,906
0 0 0

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. In summary, RSA is requesting a revision of the currently approved collection by adding a section titled State Vocational Rehabilitation (VR) Agency: RSA Job Board Posting, where RSA envisions State VR agencies may initiate posting of an open position on the RSA Job Board on a rolling basis as positions become available. This addition to the current collection will be a helpful resource to students who receive RSA support, graduate, and seek qualifying employment to fulfill their required service obligation. This collection package adds the participation of State VR agencies to the existing approved ICR. Job leads will be submitted electronically through the online RSA Payback Information Management System (PIMS). There is minimal estimated burden required to report job information using the PIMS system.

PL: Pub.L. 114 - 95 302(b) Name of Law: Rehabilitation Act of 1973, as amended by the Workforce Innovation and Opportunity Act (WIOA)
  
None

Not associated with rulemaking

  88 FR 2348 01/13/2023
88 FR 22016 04/12/2023
Yes

  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 12,026 0 0 0 0
Annual Time Burden (Hours) 4,906 4,906 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This request is a result of a program change due to agency discretion to add the collection of optional job posting information from State VR agencies to the previously approved data collection. In addition, due to the same program change this request includes adding an item to the Scholar Training and Employment Record asking the scholar if the employment position they are reporting was obtained as a result of an RSA job board posting in PIMS. That additional item will not change the scholar burden estimate. With this change of adding the RSA Job Board we will collect data from grantees, scholars, employers, and State VR agencies increasing the time burden estimate to 4,905.2 total hours for 1820-0617.

$529,810
No
    Yes
    Yes
No
No
No
No
Christopher Pope 202 245-7375

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/19/2025