RSA-509, Annual Protection and Advocacy of Individual Rights Program Performance Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FORM RSA-509 Annual Protection & Advocacy of Individual Rights (PAIR) Program Performance Report	Form	Modified	Available
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-509 PAIR 1820-0627 Redline.docx	Supplementary Document	Uploaded 2025-05-16	Available
RSA-509 PAIR 1820-0627 Redline.docx	Supplementary Document	Uploaded 2025-05-16	Repair queued
1820-0627 (PAIR) Supporting Statement Part A 6.21.23.clean.docx	Supporting Statement A	Uploaded 2023-06-21	Available
1820-0627 (PAIR) Supporting Statement Part A 6.21.23.clean.docx	Supporting Statement A	Uploaded 2023-06-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193827	RSA-509, Annual Protection and Advocacy of Individual Rights Program Performance Report	Form	Modified	Annual Protection & Advocacy of Individual Rights (PAIR) Program Performance Report
193827	RSA-509, Annual Protection and Advocacy of Individual Rights Program Performance Report	Instruction	Modified

ICR Details

OMB Control No: 1820-0627	ICR Reference No: 202505-1820-006
Status: Active	Previous ICR Reference No: 202303-1820-002
Agency/Subagency: ED/OSERS	Agency Tracking No:
Title: RSA-509, Annual Protection and Advocacy of Individual Rights Program Performance Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/18/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/19/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2026	08/31/2026	08/31/2026
Responses	57	0	57
Time Burden (Hours)	912	0	912
Cost Burden (Dollars)	0	0	0

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Abstract: The Annual Protection and Advocacy of Individual Rights (PAIR) Program Performance Report (Form RSA-509) will be used to analyze and evaluate the PAIR Program administered by eligible protection and advocacy (P&A) systems in states and the P&A serving the American Indian Consortium. These systems provide services to eligible individuals with disabilities to protect their legal and human rights. RSA uses the form to meet specific data collection requirements of Section 509(k) of the Rehabilitation Act of 1973 (Rehabilitation Act), as amended by Title IV of the Workforce Innovation and Opportunity Act (WIOA), 29 U.S.C. 794e(k), and its implementing Federal regulations at 34 C.F.R. § 381.32. The data reported by PAIR grantees using the form include demographic information about the individuals served, information describing the types of issues addressed through individual and systemic advocacy, and information about the results of these activities. PAIR grantees must report annually using the form that is due on or before December 30 each year. The collection of information through Form RSA-509 is necessary for RSA to furnish the President and Congress with data on the provision of PAIR services, as required by sections 13(a) and 509(k) of the Rehabilitation Act. Data reported by PAIR grantees through the RSA-509 have also helped RSA to establish a sound basis for future funding requests. RSA also uses data from the form to evaluate the effectiveness of eligible systems within individual States and the PAIR serving the American Indian Consortium in meeting annual priorities and objectives, pursuant to section 13(b) of the Rehabilitation Act. Last, RSA has found the RSA-509 data useful in projecting trends in the provision of services from year to year. Several respondents are private not-for-profit organizations. RSA included the respondents and the national organization that represents them (National Disability Rights Network (NDRN)) in the initial development of this collection of information in an effort to ensure that the information requested could be provided with minimal burden to the respondents.

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Authorizing Statute(s): US Code: 29 USC 794e Name of Law: Protection and advocacy of individual rights
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 24605	04/21/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 41390	06/26/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
RSA-509, Annual Protection and Advocacy of Individual Rights Program Performance Report	FORM RSA-509	Annual Protection & Advocacy of Individual Rights (PAIR) Program Performance Report

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ICR Summary of Burden

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	57	57	0	0	0	0
Annual Time Burden (Hours)	912	912	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $4,240

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/19/2025

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