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SUPPORTING STATEMENT

FOR PAPERWORK REDUCTION ACT SUBMISSION

OMB Number: 1820-0013

A. Justification 

1. Explain the circumstances that make the collection of information necessary. Identify

any legal or administrative requirements that necessitate the collection. Attach a hard 

copy of the appropriate section of each statute and regulation mandating or authorizing 

the collection of information, or you may provide a valid URL link or paste the 

applicable section. Please limit pasted text to no longer than 3 pages. Specify the review 

type of the collection (new, revision, extension, reinstatement with change, reinstatement 

without change). If revised, briefly specify the changes. If a rulemaking is involved, 

make note of the sections or changed sections, if applicable.

Section 13 of the Rehabilitation Act of 1973, as amended (the Act) requires the 

Commissioner to submit a full and complete Annual Report to the President and 

Congress within 180 days after a fiscal year (FY) on the activities carried out under the 

Act. This Annual Report should include statistical data reflecting services and activities 

provided to individuals during the preceding FY. The RSA-113 fulfills a major role in 

helping the Commissioner comply with the Annual Report requirement by providing 

timely data on the overall dimensions of the state vocational rehabilitation (VR) program. 

The RSA-113 data are submitted quarterly by State vocational rehabilitation (VR) 

agencies. VR agencies that administer vocational rehabilitation programs provide key

caseload data on this form, including numbers of individuals who are applicants, 

determined eligible/ineligible, waiting for services, and their program outcomes. These 

data are used for program projections, planning, management, budgeting, and general 

statistical purposes.

Due to the impending passage of WIOA, revision of this form was postponed because of 

the expectation of the ability to consider the data collection changes of WIOA for the 

revision of this data collection. The July 22nd 2014 enactment of WIOA was later than 

expected; consequently with the February 28th 2015 expiration date of this form, it has 

become necessary to extend it without any changes in order to continue collection of its 

data elements; any non-substantive changes based on the rulemaking public comments will 

be submitted to OMB for approval to use revisions. 

2. Indicate how, by whom, and for what purpose the information is to be used. Except for a 

new collection, indicate the actual use the agency has made of the information received 

from the current collection.

The Commissioner will use and has used the RSA-113 data for the purposes listed in 

response to Question 1. The RSA-113 data are also used to determine trends in the 

acceptance and rehabilitation of applicants for rehabilitation services. These data have 
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been used for the generation of outcome measures permitting assessment of state agency 

productivity. The outcome measures, in turn, form the basis for monitoring and the 

timely delivery of technical assistance to state agencies, when warranted. In addition, 

RSA-113 data are employed in the budget development process and are frequently

requested by the Office of Management and Budget (OMB), the Secretary and Assistant 

Secretary, and by the Congress and its staff.

3. Describe whether, and to what extent, the collection of information involves the use of 

automated, electronic, mechanical, or other technological collection techniques or forms 

of information technology, e.g. permitting electronic submission of responses, and the 

basis for the decision of adopting this means of collection. Also describe any

consideration given to using technology to reduce burden.

RSA has a Management Information System that agencies use to access the data 

collection directly through the internet by using the following URL: http://rsa.ed.gov. 

Agencies do not submit hardcopy media of the RSA-113.

4. Describe efforts to identify duplication. Show specifically why any similar information 

already available cannot be used or modified for use for the purposes described in Item 2

above.

The information requested on the RSA-113 represents a portion of greater caseload 

detail already available in state rehabilitation agencies. The agencies, therefore, have 

only to extract a limited amount of caseload flow data from their own on-going data 

collection systems when preparing the RSA-113. The RSA-113 is the only RSA 

report dealing with current and total state agency caseload flows. No similar 

information is available from other sources.

5. If the collection of information impacts small businesses or other small entities, describe 

any methods used to minimize burden. A small entity may be (1) a small business which 

is deemed to be one that is independently owned and operated and that is not dominant in 

its field of operation; (2) a small organization that is any not-for-profit enterprise that is 

independently owned and operated and is not dominant in its field; or (3) a small 

government jurisdiction, which is a government of a city, county, town, township, school 

district, or special district with a population of less than 50,000.

Respondent are agencies of state governments only. There is no impact on small 

businesses or other small entities.

6. Describe the consequences to Federal program or policy activities if the collection is not 

conducted or is conducted less frequently, as well as any technical or legal obstacles to 

reducing burden.

RSA-113 data are to be collected quarterly. These data provide current perspectives and 

insights into caseload trends in individual state agencies that permit early detection of 

questionable and undesirable trends (e.g., reductions in the number of persons with 

significant disabilities entering the caseloads, declines in acceptance rates and 

rehabilitation rates, increasing backlogs of eligible individuals who cannot be served, 

etc.). Using quarterly RSA-113 data, RSA staff can perform their oversight functions 
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more knowledgeably in their continuing contacts with state agencies and provide 

expeditious technical assistance, when needed. Without quarterly data, their monitoring 

and technical assistance functions will be seriously limited. Further, the availability of 

quarterly data permits informed judgments about trends to be made for use in the budget 

development and preparation process. 

7. Explain any special circumstances that would cause an information collection to be 

conducted in a manner:

 requiring respondents to report information to the agency more often than quarterly;

There are no circumstances that require respondents to report information more often 

than quarterly.

 requiring respondents to prepare a written response to a collection of information in 

fewer than 30 days after receipt of it;

This collection has been in effect for several years and collects information that the 

respondents maintain continuously. There are no circumstances that require a written 

response in fewer than 30 days after receipt.

 requiring respondents to submit more than an original and two copies of any 

document;

Respondents are required to submit the information for the RSA-911 in RSA’s MIS 

as stated in number 3 above.

 requiring respondents to retain records, other than health, medical, government 

contract, grant-in-aid, or tax records for more than three years;

Respondents are not required to retain records for more than three years.

 in connection with a statistical survey, that is not designed to produce valid and 

reliable results than can be generalized to the universe of study;

This collection is not a statistical survey.

 requiring the use of a statistical data classification that has not been reviewed and 

approved by OMB;

The collection is reviewed and approved by OMB.

 that includes a pledge of confidentiality that is not supported by authority established 

in statute or regulation, that is not supported by disclosure and data security policies 

that are consistent with the pledge, or that unnecessarily impedes sharing of data with 

other agencies for compatible confidential use; or

The RSA-113 is an aggregated report form of caseloads and does not identify

individual information.

 requiring respondents to submit proprietary trade secrets, or other confidential 

information unless the agency can demonstrate that it has instituted procedures to 

protect the information’s confidentiality to the extent permitted by law.
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The RSA-113 report does not require proprietary trade secrets of other confidential 

information.

8. As applicable, state that the Department has published the 60 and 30 Federal Register 

notices as required by 5 CFR 1320.8(d), soliciting comments on the information 

collection prior to submission to OMB. Summarize public comments received in 

response to that notice and describe actions taken by the agency in response to these 

comments. Specifically address comments received on cost and hour burden.

Describe efforts to consult with persons outside the agency to obtain their views on the 

availability of data, frequency of collection, the clarity of instruction and record keeping, 

disclosure, or reporting format (if any), and on the data elements to be recorded, 

disclosed, or reported.

Consultation with representatives of those from whom information is to be obtained or 

those who must compile records should occur at least once every 3 years – even if the 

collection of information activity is the same as in prior periods. There may be 

circumstances that may preclude consultation in a specific situation. These 

circumstances should be explained.

RSA regularly contacts the Council of State Administrators of Vocational Rehabilitation 

(CSAVR) on developments affecting the RSA-113. CSAVR is an umbrella organization, 

headquartered in suburban Washington, DC, representing the 80 respondents (state VR 

agencies).

Also a 60-day and 30-day notice was published in the Federal Register for public 

comment, with no comments received during the 60-day FRN comment period. 

9. Explain any decision to provide any payment or gift to respondents, other than 

remuneration of contractors or grantees with meaningful justification.

There are no payments of gifts to respondents.

10. Describe any assurance of confidentiality provided to respondents and the basis for the 

assurance in statute, regulation, or agency policy. If personally identifiable information 

(PII) is being collected, a Privacy Act statement should be included on the instrument. 

Please provide a citation for the Systems of Record Notice and the date a Privacy Impact 

Assessment was completed as indicated on the IC Data Form. A confidentiality statement 

with a legal citation that authorizes the pledge of confidentiality should be provided.

Requests for this information are in accordance with the following ED and OMB 

policies: Privacy Act of 1974, OMB Circular A-108 – Privacy Act Implementation –

Guidelines and Responsibilities, OMB Circular A-130 Appendix I – Federal Agency

Responsibilities for Maintaining Records About Individuals, OMB M-03-22 – OMB 

Guidance for Implementing the Privacy Provisions of the E-Government Act of 2002, 

OMB M-06-15 – Safeguarding Personally Identifiable Information, OM:6-104 – Privacy

Act of 1974 (Collection, Use and Protection of Personally Identifiable Information). If 

the collection is subject to the Privacy Act, the Privacy Act statement is deemed 

sufficient with respect to confidentiality. If there is no expectation of confidentiality, 

simply state that the Department makes no pledge about the confidentially of the data.
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The RSA-113 is an aggregated report form of caseloads and does not identify individual 

information. There are no assurances of confidentiality necessary to be provided to 

respondents.

11. Provide additional justification for any questions of a sensitive nature, such as sexual 

behavior and attitudes, religious beliefs, and other matters that are commonly considered 

private. The justification should include the reasons why the agency considers the 

questions necessary, the specific uses to be made of the information, the explanation to be 

given to persons from whom the information is requested, and any steps to be taken to 

obtain their consent.

Data collected on the RSA-113 is not of a sensitive nature.

12. Provide estimates of the hour burden of the collection of information. The statement 

should:

 Indicate the number of respondents by affected public type (federal government, 

individuals or households, private sector – businesses or other for-profit, private 

sector – not-for-profit institutions, farms, state, local or tribal governments), 

frequency of response, annual hour burden, and an explanation of how the burden 

was estimated, including identification of burden type: recordkeeping, reporting or 

third party disclosure. All narrative should be included in item 12. Unless directed to 

do so, agencies should not conduct special surveys to obtain information on which to 

base hour burden estimates. Consultation with a sample (fewer than 10) of potential 

respondents is desirable. If the hour burden on respondents is expected to vary

widely because of differences in activity, size, or complexity, show the range of 

estimated hour burden, and explain the reasons for the variance. Generally, estimates 

should not include burden hours for customary and usual business practices.

 If this request for approval covers more than one form, provide separate hour burden 

estimates for each form and aggregate the hour burdens in the ROCIS IC Burden 

Analysis Table. (The table should at minimum include Respondent types, IC activity, 

Respondent and Responses, Hours/Response, and Total Hours)

 Provide estimates of annualized cost to respondents of the hour burdens for 

collections of information, identifying and using appropriate wage rate categories. 

The cost of contracting out or paying outside parties for information collection 

activities should not be included here. Instead, this cost should be included in Item 

14.

Estimates of reporting burdens are based on the experience of many years of caseload 

data collection as well as discussions with respondent representatives. Estimates for 

both reporting and record-keeping indicate minimal burden because the data called 

for by the RSA-113 are limited in scope and are maintained by respondents for their 

own needs and use.

Some states have a separate agency for the blind and visually impaired, while other 

states have a single state agency. Currently 80 agencies are required to respond to the 

RSA-113.
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Estimated time to edit, collect and submit summary data on the RSA-113 Report –

1 hour and number of respondents - 80 

Number of quarterly collections from each respondent annually – 4

Total number of responses annually – 320 

Annual cost to respondents: 320 burden hours X $20/hour = $6,400

13. Provide an estimate of the total annual cost burden to respondents or record keepers 

resulting from the collection of information. (Do not include the cost of any hour burden 

shown in Items 12 and 14.)

 The cost estimate should be split into two components: (a) a total capital and start-up 

cost component (annualized over its expected useful life); and (b) a total operation 

and maintenance and purchase of services component. The estimates should take into 

account costs associated with generating, maintaining, and disclosing or providing the 

information. Include descriptions of methods used to estimate major cost factors 

including system and technology acquisition, expected useful life of capital 

equipment, the discount rate(s), and the time period over which costs will be incurred. 

Capital and start-up costs include, among other items, preparations for collecting 

information such as purchasing computers and software; monitoring, sampling, 

drilling and testing equipment; and acquiring and maintaining record storage 

facilities.

 If cost estimates are expected to vary widely, agencies should present ranges of cost 

burdens and explain the reasons for the variance. The cost of contracting out 

information collection services should be a part of this cost burden estimate. In 

developing cost burden estimates, agencies may consult with a sample of respondents 

(fewer than 10), utilize the 60-day pre-OMB submission public comment process and 

use existing economic or regulatory impact analysis associated with the rulemaking 

containing the information collection, as appropriate.

 Generally, estimates should not include purchases of equipment or services, or 

portions thereof, made: (1) prior to October 1, 1995, (2) to achieve regulatory

compliance with requirements not associated with the information collection, (3) for 

reasons other than to provide information or keep records for the government or (4) as 

part of customary and usual business or private practices. Also, these estimates should 

not include the hourly costs (i.e., the monetization of the hours) captured above in 

Item 12

Total Annualized Capital/Startup Cost:

Total Annual Costs (O&M): 

Total Annualized Costs Requested:

This collection does not require capital costs, start-up costs, maintenance costs or the 

purchase of services for the respondents. The summary data required is already

maintained for the purpose of maintaining its federal grant. There are no additional 

costs for this RSA-113 report.
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14. Provide estimates of annualized cost to the Federal government. Also, provide a 

description of the method used to estimate cost, which should include quantification of 

hours, operational expenses (such as equipment, overhead, printing, and support staff), 

and any other expense that would not have been incurred without this collection of 

information. Agencies also may aggregate cost estimates from Items 12, 13, and 14 in a 

single table.

Annualized Estimated Federal Cost: 

Annual Federal Costs

50 hours X $25 per hour $ 3,750 

Annual federal computer costs: $ 500

 $ 4,250

15. Explain the reasons for any program changes or adjustments. Generally, adjustments in 

burden result from re-estimating burden and/or from economic phenomenon outside of an 

agency’s control (e.g., correcting a burden estimate or an organic increase in the size of 

the reporting universe). Program changes result from a deliberate action that materially 

changes a collection of information and generally are result of new statute or an agency

action (e.g., changing a form, revising regulations, redefining the respondent universe, 

etc.). Burden changes should be disaggregated by type of change (i.e., adjustment, 

program change due to new statute, and/or program change due to agency discretion), 

type of collection (new, revision, extension, reinstatement with change, reinstatement 

without change) and include totals for changes in burden hours, responses and costs (if 

applicable).

There are no program changes or adjustments associated with this request.

16. For collections of information whose results will be published, outline plans for 

tabulation and publication. Address any complex analytical techniques that will be used. 

Provide the time schedule for the entire project, including beginning and ending dates of 

the collection of information, completion of report, publication dates, and other actions.

RSA-113 data are due 30 days after the first three quarters of the FY, and 60 days after 

the fourth quarter, or end of the FY. By the middle to the end of the succeeding month, 

reports for all state rehabilitation agencies will be collected, edited, revised if necessary, 

and tabulated. The tabulation comprises eight tables of data displaying all RSA-113 data 

for state agencies. The tables contain a variety of analytical measures and comparisons 

such as percent distributions, percent changes from previous year, percent of caseload 

composed of significantly disabled persons, acceptance rates and rehabilitation rates. 

They are also shown by type of agency (general/combined and agency for the blind).

Data for the fourth quarter represent annual totals that are published as "Caseload 

Statistics" on RSA’s website early in the succeeding calendar year. The annual totals are 

also made available, along with an accompanying analysis, for the Annual Report to the 

Congress required by Section 13 of the Rehabilitation Act. 

17. If seeking approval to not display the expiration date for OMB approval of the 

information collection, explain the reasons that display would be inappropriate.

The expiration date for OMB approval will be displayed.
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18. Explain each exception to the certification statement identified in the Certification of 

Paperwork Reduction Act.

There are no exceptions to the certification statement identified in Item 21 of OMB Form 

83-1.