Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Employers: Employment Verification Record Modified 3600 612 0 Form and Instruction NA Employment Verification Record
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Modified 562 1835 0 Form and Instruction NA Grantee Scholar Record
Form and Instruction NA RSA Payback Agreement
Form and Instruction NA RSA Exit Certificate
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Modified 7628 2411 0 Form and Instruction NA Scholar Training and Employment Record
Form and Instruction NA RSA Payback Agreement
Form and Instruction NA RSA Exit Certificate
Total burden requested under this ICR: 11790 4858 0  
To view an IC, click on IC Title