RSA Exit Certificate
Rehabilitation Services Administration (RSA) Payback Information Management System
RSA Exit Certification form 1820-0617 (final)
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System
OMB: 1820-0617
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1820-0617 can be found here: