Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Employers: Employment Verification Record Modified 3600 601 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
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) New 236 59 0 Form and Instruction N/A Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) State Vocational Rehabilitation (VR) Agency Job Board Posting
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: 12026 4906 0  
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