RSA DISCRETIONARY PROGRAM APPLICATION INSTRUCTIONS

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
133357	RSA DISCRETIONARY PROGRAM APPLICATION INSTRUCTIONS Form	Migrated

ICR Details

OMB Control No: 1820-0018	ICR Reference No: 198411-1820-001
Status: Historical Active	Previous ICR Reference No: 198209-1820-001
Agency/Subagency: ED/OSERS	Agency Tracking No:
Title: RSA DISCRETIONARY PROGRAM APPLICATION INSTRUCTIONS
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/23/1985
	Date Received in OIRA: 11/21/1984
Terms of Clearance: AS DISCUSSED BY TELEPHONE ON 1/23/85 BY JOE LACKEY OF OMB WITH MARGARET WEBSTER AND LARRY BUSSEY OF EDUCATION THE FOLLOWING CHANGES WILL BE MADE: 1. "IMPROVEMENT IN WORK OR INDEPENDENT LIVING STATUS FOLLOWING RECEIPT OF SERVICES," WILL BE ADDED AS AN EXAMPLE OF PRODUCTIVITY IN THE CENTERS FOR INDEPENDENT LIVING PROGRAM NARRATIVE (P. 2). 2. OBJECTIVES AND NEED FOR ASSISTANCE IN THE PROGRAM NARRATIVE FOR DEAF INDIVIDUALS WILL DISCUSS SHORTAGES OF QUALIFIED PERSONNEL. 3. A DOCUMENT CONTAINING THE PRECISE WORDING IMPLEMENTING THE ABOVE CHANGES WILL BE SENT TO JOE LACKEY OF OMB NO LATER THAN 1/28/85.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1987	06/30/1987	11/30/1984
Responses	1,170	0	1,170
Time Burden (Hours)	46,800	0	46,800
Cost Burden (Dollars)	0	0	0

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Abstract: INSTRUCTIONS ARE REQUIRED SO THAT ALL APPLICATION WILL BE COMPLETED IN ACCORDANCE WITH SPECIFIED AND UNIQUE REQUIREMENTS OF VARIOUS RSA PROGRAMS. PROGRAM STAFF AND/OR OUTSIDE REVIEWERS USE THE APPLICATION INFORMATION TO EVALUATE PROGRAM PROGRESS, PROJECT VIABILITY, SOUNDNESS OF APPROACH, AND REASONABLENESS OF PROPOSED COST OF NEW AND CONTINUATI APPLICATIONS.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
RSA DISCRETIONARY PROGRAM APPLICATION INSTRUCTIONS	SF 424, (ED(RSA, 424))

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ICR Summary 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	1,170	1,170	0	0	0	0
Annual Time Burden (Hours)	46,800	46,800	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: $0

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 11/21/1984

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