Information Collection Request

Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation

ICR 202608-1820-002 · OMB 1820-0686 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Employment Verification Record Form and Instruction Modified Available
Exit Certification Form and Instruction Modified Available
Pre-Scholarship Agreement Form and Instruction Modified Available
Scholar Training and Employment Record Form and Instruction Modified Available
Exit Certification Form and Instruction Modified Available
Pre-Scholarship Agreement Form and Instruction Modified Available
Grantee Scholar Record Form and Instruction Modified Available
ICR 60 day comments_indiv responses.docx Supplementary Document Uploaded 2026-11-05 Available
1820-0686 PRA Burden Statement (1).docx Supplementary Document Uploaded 2026-08-31 Available
1820-0686 Supporting Statement Part A_7.21.26 - revised (2).docx Supporting Statement A Uploaded 2026-08-31 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 11/30/2026
60,949 73,368
9,210 10,874
359,184 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Employers: Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation NA
Grantees: Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation NA, N/A, N/A ,   ,  
Scholars: Special Education-Individual Reporting on Regulatory Compliance Related to the Personnel Development Program's Service Obligation NA, N/A, N/A ,   ,  

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 60,949 73,368 0 0 -12,419 0
Annual Time Burden (Hours) 9,210 10,874 0 0 -1,664 0
Annual Cost Burden (Dollars) 359,184 0 0 -1 359,185 0


Reginfo record details
  No