Scholars: Scholar Training and Employment Record

Grantee Reporting Form -Rehabilitation Services Administration (RSA) Annual Payback Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0617 can be found here:

Documents and Forms

Document Name Document Type
Scholars: Scholar Training and Employment Record Form and Instruction
RSA PIMS Scholar Training and Employment Record RSA PIMS Scholar Training and Employment Record 1820-0617.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Scholars: Scholar Training and Employment Record	Agency IC Tracking Number:	ED-2018-ICCD-0094

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	RSA PIMS Scholar Training and Employment Record	RSA PIMS Scholar Training and Employment Record 1820-0617.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,628	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,628	7,628
Annual IC Time Burden (Hours)	2,411	2,411
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.