Information Collection Request

Vocational Rehabilitation Financial Report (RSA-17)

ICR 202603-1820-004 · OMB 1820-0017 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form RSA-17 Vocational Rehabilitation Financial Report Form Modified Available
Form RSA-17 Vocational Rehabilitation Financial Report Form Modified Available
1820-0017 Statutory Citations-2026.docx Supplementary Document Uploaded 2026-03-23 Available
1820-0017 Supporting Statement Part A-2026.docx Supporting Statement A Uploaded 2026-05-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
187873 Vocational Rehabilitation Financial Report (RSA-17) Form ModifiedVocational Rehabilitation Financial Report
187873 Vocational Rehabilitation Financial Report (RSA-17) Form ModifiedVocational Rehabilitation Financial Report

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2026
312 312
10,193 10,193
509,650 0





Reginfo record details
1
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IC Title Form No. Form Name
Vocational Rehabilitation Financial Report (RSA-17) RSA-17, RSA-17 ,  

table that charts list of burden
  Total Request 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 312 312 0 0 0 0
Annual Time Burden (Hours) 10,193 10,193 0 0 0 0
Annual Cost Burden (Dollars) 509,650 0 0 0 509,650 0


Reginfo record details
  No