Case Service Report (RSA-911)

Documents and Forms

Document Name Document Type
Paperwork Burden Statement (RSA-911 06.27.23).docx Other-Paperwork Burden Statement
Case Service Report - RSA-911_1820-0508CLEAN Case Service Report - RSA-911_1820-0508CLEAN.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Case Service Report (RSA-911)	Agency IC Tracking Number:	ED-2018-ICCD-0100

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 361

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Paperwork Burden Statement			Paperwork Burden Statement (RSA-911 06.27.23).docx		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Case Service Report - RSA-911_1820-0508CLEAN	Case Service Report - RSA-911_1820-0508CLEAN.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: RSA-911 Case Service Report	FR Citation: 85 FR 46075

Number of Respondents: 78	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	312	312
Annual IC Time Burden (Hours)	12,236,731	12,236,731
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.