RSA-911

Form Name
RSA-911
Form Description
Case Service Report
OMB Form Number
1820-0508
OMB Send Comments To
Director, Program Support Staff, Rehabilitation Services Administration, Room 5148 PCP, 400 Maryland Avenue, SW Washington, DC 20202-2800
OMB Expiration Date
Programs using this form
Vocational Rehabilitation State Grants
OMB Notice

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average  per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is required to obtain or retain a benefit (Section 13 of the Rehabilitation Act, as amended). Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Education, Washington, D.C. 20202-4537 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1820-0508. Note: Please do not return the completed form to this address.