Rehabilitation Services Administration (RSA) Payback Information Management System

ICR 202301-1820-001

OMB: 1820-0617

Federal Form Document

⚠️ Notice: This information collection may be outdated.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

2025-05-19 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction	New
Employers: Employment Verification Record Form and Instruction	Modified
Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction	Modified
Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction	Modified
1820-0617 Supporting Statement (final)_4.5.23.docx Supporting Statement A	2023-04-06

IC Document Collections

IC ID	Document Title	Status
257788	Rehabilitation Services Administration (RSA) Payback Information Management System (PIMS) Form and Instruction	New
232924	Employers: Employment Verification Record Form and Instruction	Modified
232923	Scholars: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction	Modified
190462	Grantees: Rehabilitation Services Administration (RSA) Payback Information Management System Form and Instruction	Modified

ICR Details

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