1

OMB 83-1 SUPPORTING STATEMENT

FOR PAPERWORK REDUCTION ACT SUBMISSION

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 copy of 

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

collection of information.

The current Vocational Rehabilitation (VR) Case Service Report is used to collect annual

individual level data on the individuals that have exited the VR program, including individuals

who have received services with funds provided under the Supported Employment program. 

Sections 101(a)(10) and 607 of the Rehabilitation Act of 1973 (Act) contain data reporting

requirements under the VR program and Supported Employment program, respectively. The

Workforce Innovation and Opportunity Act (WIOA) amends these sections to require States to

report additional data describing the individuals served and the services provided through these

programs. WIOA also amends section 106 of the Act by eliminating the current VR evaluation

standards and indicators and requiring that the standards and indicators used to assess the

performance of the VR program be consistent with the performance accountability measures,

established under section 116 of WIOA, for the core programs of the workforce development

system, including the VR program. Consequently, we propose changes to §§361.40 and 363.52

that would cause substantive changes to the active and OMB-approved data collection under

1820-0508 – the VR Case Service Report (RSA-911).

The most significant proposed change to this data collection affects the time at which data is

collected as well as the frequency with which data is collected. Under the current approved form,

VR agencies annually report data on each individual whose case file is closed after exiting the

VR program in that fiscal year. However, new statutory requirements would necessitate the

reporting of data for both current program participants (open cases), as well as individuals who

have exited the program (closed cases) on a quarterly basis. Specifically, proposed §361.40

would require a State to ensure in the VR services portion of the Unified or Combined State Plan 

that it will submit reports, including reports required under sections 13, 14, and 101(a)(10) of the 

Act. New reporting requirements under section 101(a)(10)(C) of the Act include data on the 

number of: individuals currently receiving services (open cases) and the types of services they

are receiving, students with disabilities receiving pre-employment transition services, and 

individuals referred to the State VR program by one-stop operators and those referred to such 

one-stop operators by the State VR program. In addition, proposed §363.52 would require States

to report separately data regarding eligible youth receiving supported employment services under

parts 361 and 363. Proposed §361.40 also would require States to report the data necessary to

assess VR agency performance on the standards and indicators subject to the performance

accountability provisions described in section 116 of WIOA. The common performance 
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accountability measures established under section 116 of WIOA apply to all core programs of the 

workforce development system and will be implemented in joint regulations set forth in subpart

E of part 361.

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 Rehabilitation Services Administration (RSA) uses the data collected through the RSA-911

to describe the performance of the VR and Supported Employment programs in the Annual 

Report to the Congress and the President as required by sections 13 and 101(a)(10) of the Act.

RSA also uses these data to assess the performance of the VR program through the calculation of 

evaluation standards and performance indicators as required by section 106 of the Act, which 

under WIOA must be consistent with the common performance accountability measures 

established for the core programs of the workforce development system.

In addition, RSA uses data reported through this data collection to support its other 

responsibilities under the Act. Section 14 (a) of the Act calls for the evaluation of programs in 

the Act, as well as an assessment of the programs’ effectiveness in relation to cost. Many of 

these evaluation studies have utilized RSA-911 data. RSA uses data captured through the RSA911 during the conduct of both the annual reviews and periodic onsite monitoring of VR agencies

required by section 107 of the Act to examine the effectiveness of program performance.

Other important management activities, such as the provision of technical assistance, program 

planning, and budget preparation and development, are greatly enhanced through the use of 

RSA-911 data. The RSA-911 is considered to be one of the most robust databases in describing 

the demographics of the disabled population in the country and as such is used widely by 

researchers’ disability-related analyses and reports.

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 of 

using information technology to reduce burden.

The RSA-911 is an electronic text file that is created by extracting selected data elements from 

the VR agency case management and data systems. This process poses little burden on the 

agencies. The text files are submitted electronically to a Department of Education server via 

secure file transfer protocol (SFTP). If agencies are unable to submit their data to the SFTP 

server, data are sent on a compact disc via overnight services and must be signed for by the 

recipient.

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

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

above.
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The RSA-911 is the only data collection through which RSA requires data to be reported for each 

individual who has applied for, and is receiving, VR services. These data are not otherwise 

collected by the Department of Education. Although some data elements included in the RSA911 currently are reported in the aggregate by VR agencies on a quarterly basis through the VR 

Cumulative Caseload Report (RSA-113), RSA plans on withdrawing that form after the 

implementation of the revised version of the RSA-911, through which VR agencies will now 

report these same data on an individual and quarterly basis. There is no duplication of the 

individualized data collected through the RSA-911 with any other reporting systems.

5. If the collection of information impacts small businesses or other small entities (Item 5 of 

OMB Form 83-I), describe any methods used to minimize burden.

The collection of information for the RSA-911 does not have an impact on small businesses or 

other small entities. All respondents are State government agencies.

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.

As a result of the amendments to the Act made by WIOA, the RSA-911, which is currently

approved as an annual data collection, must be collected quarterly. Without this data collection 

on a quarterly basis, RSA would be unable to comply with section 116 of WIOA, which 

mandates the use of new performance indicators (some of which are based on quarters) to assess 

the performance of the core programs comprising the workforce development system, including 

the VR program.

In addition, the Departments of Education and Labor administer the other core programs of the 

workforce development system using a program year beginning on July 1st and ending June 30th, 

while RSA uses the federal fiscal year (October 1st through September 30th) in the administration 

of the VR and supported employment programs as required by the Act. Because the WIOA 

program year and the federal fiscal year are offset by one quarter (July 1 through September 30), 

RSA needs quarterly data submissions so that it can draw comparisons between both program 

and fiscal years. If the RSA-911 was collected less frequently than quarterly, it would be

incompatible with the performance reporting template required under title I of WIOA jointly

developed by the Departments of Education and Labor and published for comment in this issue 

of the Federal Register, and would necessitate that VR agencies track and report the same data 

using two different reporting calendars.

Finally, RSA would be able to use data reported quarterly through the RSA-911 to better identify

VR agencies that are performing poorly and to provide more timely technical assistance to 

address this performance.

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

conducted in a manner:
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 requiring respondents to report information to the agency 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;

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

document;

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

contract, grant-in-aid, or tax 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;

 requiring the use of a statistical data classification that has not been 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 which unnecessarily impedes 

sharing of data with other agencies for compatible confidential use; or

 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.

There are no special circumstances that require the collection to be conducted as described in the 

bulleted items above.

8. If applicable, provide a copy and identify the date and page number of publication in 

the Federal Register of the agency’s notice, 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 
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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.

This version of the RSA-911 was prepared by RSA to enable VR agencies to report new data 

elements required under sections 101(a)(10) and 607 of the Act, as amended by WIOA, and 

proposed in §§361.40 and 363.52. Following publication of the 60 day notice in the Federal 

Register, RSA will respond to all comments received and make any changes warranted.

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

remuneration of contractors or grantees.

RSA will not provide any payments or gifts to respondents in connection with this data 

collection.

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

assurance in statute, regulation, or agency policy.

RSA’s policy is always to maintain the confidentiality of individual service record data. The 

only personal identifier contained in the RSA-911, the Social Security Number (SSN), is used for 

record control purposes (i.e., to cull out duplicates) and for the RSA-SSA Data Exchange 

required by section 131 of the Act. Equally important, section 13 of the Act reinforces RSA 

policy by expressly stating that the Commissioner is to assure that the identity of each person for 

whom information is supplied remains confidential.

The System of Records Notice (18-16-02) was published in the Federal Register April 8, 2004. 

The link is: http://www.ed.gov/notices/pai/pai-18-16-02.pdf

The Privacy Impact Assessment is at the following link:

http://www2.ed.gov/notices/pia/csr_041408.pdf 

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.

There are no questions of a sensitive nature collected through the RSA-911 system. Other items 

sometimes perceived as sensitive, such as race, type of disability, and earnings, are all required 

by the Act.

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

should:
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 Indicate the number of respondents, frequency of response, annual hour burden, 

and an explanation of how the burden was estimated. 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 item 13 of OMB 

Form 83-I.

 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 not be included in 

Item 14.

As stated elsewhere in this Supporting Statement, RSA has revised the currently-approved RSA911 to enable VR agencies to report new data elements required under sections 101(a)(10) and 

607 of the Act, as amended by WIOA, and proposed in §§361.40 and 363.52. The below table 

describes the burden RSA estimates the 80 VR agencies will incur in the collection of these 

additional data elements and the total burden experienced when reporting the entire RSA-911 on 

a quarterly, rather than an annual, basis.

The total burden estimate for the proposed revised RSA-911

Burden Type

Per 

Agency

Nationally

(80 Agencies)

Incremental hours for collecting new RSA-911 data 

by agency

(15 minutes times 125 average number of counselors 

per agency divided by 60 minutes)

31.25 2,500

Cost per agency based on $22.27 wage rate (VR 

counselor wage rate) $695.94 $55,675

Hours for submitting RSA-911 data file per agency 100 8,000

Cost per agency based on $33.63 wage rate (Stateemployed database administrator wage rate) $3,363.00 $269,040

Total burden hours - collection and submission 131.25 10,500

Total burden cost - collection and submission $4,059.00 $ 324,715
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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 startup 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 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.

This collection does not require the respondents to incur capital or start-up costs in connection 

with this data collection because they already collect the data for the purpose of maintaining their 

Federal grants. The costs to the respondents are strictly those associated with the programming 

and modifications of data retrieval systems as a result of the revisions to the RSA-911 and its 

instructions due to the new data required under section 101(a)(10) of the Act. The costs are onetime, first-year costs.

The burden on the VR agencies related to the programming of their case management systems as 

a result of the redesigned RSA-911 will vary widely because agencies themselves range in size 

and sophistication of their information technology systems. Roughly half of the 80 VR agencies 

use case management and reporting systems purchased from software providers who are 

responsible for maintaining and updating software. We estimate those VR agencies would 

experience no or minimal increases in cost burden. The remaining VR agencies have developed 

their own case management systems for which changes will be made by their information 

technology staff or outside contractors. We estimate that approximately 20 of these agencies will

make the changes in-house and the remaining 20 agencies would contract for the changes to be 

made.
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The following tables provide an estimate of the burden hours and costs for reconfiguring the case 

management and reporting systems for those 20 agencies that effect the changes in-house and for 

those 20 that contract with others to make the necessary programming changes. Before the 

effective date of the revised RSA-911, some of the VR agencies that have not already done so 

may purchase case management software systems. 

The costs to the VR agencies to effect the programming changes necessary will differ

considerably based on many factors including availability of State programming and contracting 

costs which may vary widely based on location.

To fully implement the revised RSA-911 case management and reporting system, certain

development activities must occur. The system development costs can be estimated by focusing 

on the systems environment of the VR agencies.

1. VR agencies that have their own (i.e., not vendor provided) case management and 

reporting systems, which they maintain and update.

2. VR agencies that have their own (i.e., not vendor provided) case management and 

reporting systems and use IT contractors for system maintenance and updating. 

1. VR agencies that maintain and update their own (i.e., not vendor-provided) case

management systems

Category

Number of 

agencies

affected

Hours per 

agency

Total 

hour

burden

Hourly 

rate

Total 

dollar 

burden

Review specifications and 

write software, prepare 

deployment plan, test and 

install (Wage rate for 

State-employed computer 

and information systems 

managers) 20 240 4,800 $44.72 $214,656

Total

Not 

Applicable

Not 

Applicable 4,800

Not 

Applicable $214,656

2. VR agencies that use contractors to maintain and update their own (i.e., not vendor 

provided) case management systems

Category

Number of 

agencies

affected

Hours 

per 

agency

Total 

hour

burden

Hourly 

rate

Total 

dollar 

burden
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Category

Number of 

agencies

affected

Hours 

per 

agency

Total 

hour

burden

Hourly 

rate

Total 

dollar 

burden

Review specifications and 

write RFP. Test and 

install new software

(Wage rate for private 

sector computer 

programmers) 20 100 2,000 $39.21 $78,420

Contractor support (Wage 

rate for private sector 

computer and information 

system managers) 20 400 8,000 $67.32 $538,560

Total

Not 

Applicable

Not 

Applicable 10,000

Not 

Applicable $616,980

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.

The use of an automated edit system will reduce the Government cost per submission. Costs to 

the Federal government for processing RSA-911 data will be computed on a quarterly, not 

annual, basis.

Activity

Hours per 

state 

agency 

submission

Annual 

hours for 4 

quarterly 

state agency 

submissions

Estimated Salary and 

overhead costs for RSA

.5 2 $200

Review of RSA-911 data file 1 4 $400

Editing RSA-911 record files 1 4 $400

Approval of RSA-911 

submission .5 2 $200

Total for one agency submission 3 12 $1,200

Total for all 80 VR agency

submissions 240 960 $96,000
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15. Explain the reasons for any program changes or adjustments reported in Item 16 of the 

new OMB Form 83-I.

Because these new requirements would necessitate the reporting of data for both current program

participants (open cases) as well as individuals who have exited the program (closed cases) on a

quarterly basis, estimated data collection and reporting burden will increase. However, we

propose to reduce the burden to respondents by eliminating redundant elements and reorganizing

some existing elements of the form. The regulations proposed under this section will increase 

the total annual burden for the 80 respondents by 4,000 hours. We estimate the total annual 

reporting burden to be 8,000 hours at $33.63 per hour (a rate more consistent with the rate 

reported through the Bureau of Labor Statistics for State-employed database administrators), for 

a total annual cost of $269,040.00.

Global Changes:

 RSA-911 reporting changed from annual report of closed case service records to quarterly

reporting of both open and closed case service records reported quarterly with data due 60 

days from end of each calendar quarter. Grantees must submit quarterly data for the first 

four full quarters after the consumer exits the VR program.

 Previous references to Closure have been changed to Exit.

 File submission must now be certified.

New Data Elements Added:

 Calendar Year

 Calendar Quarter

 Start Date of Pre-Employment Transition Services

 Pre-Employment Transition Services

o Job Exploration Counseling

o Work-Based Learning Experiences

o Counseling on Enrollment Opportunities

o Workplace Readiness Training

o Instruction in Self-Advocacy

 Organizations Referred To

 State Definition for Age of Students with Disabilities

 Unemployment Insurance Quarterly Earnings

 Case Service Record Archive Date

Data Elements Eliminated:

 Closure Order – after adoption of the form

 Previous Closure – after adoption of the form
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 Start Date of Extended Evaluation

 End Date of Extended Evaluation

Comparison of the new RSA-911 to the previous RSA-911 Case Service Report

New 

Data 

Element 

Number

Previous 

Data 

Element 

Number

Data Element Description Change, if any, from previous 

RSA-911

1 1 Agency Code No change

2 2 Social Security Number No change

3 Calendar Year New data element

4 Calendar Quarter New data element

5 3 Closure Order Used only for service records 

opened prior to the date of form 

adoption, i.e., not collected for 

service records opened after form 

adoption

6 4 Previous Closure Used only for service records 

opened prior to the date of form 

adoption, i.e., not collected for 

service records opened after form 

adoption

7 Start Date of Pre-Employment 

Transition Services

New data element

8 5 Date of Application No change

9 6 Date of Birth No change

10 7 Gender No change

11-15 8-12 Race No change

16 13 Ethnicity No change

17 14 Veteran Status at Application Data element name changed from 

"Veteran Status" to "Veteran 

Status at Application"

18 17 Source of Referral at Application Data element name changed from 

"Source of Referral" to " Source 

of Referral at Application"

19 21 Living Arrangement at Application No change

20 25 Employment Status at Application The coding option 1 

("Employment without Supports 

in Integrated Setting") has 

changed to "Competitive 

Integrated Employment."

Coding options 5 and 6 
12

New 

Data 

Element 

Number

Previous 

Data 

Element 

Number

Data Element Description Change, if any, from previous 

RSA-911

("Homemaker" and "Unpaid 

Family Worker") have been 

eliminated.

Coding option 7 ("Employment 

with Supports in Integrated 

Setting") has been changed to 

Competitive Integrated 

Employment with Supports."

21 Primary Occupation at Application New data element

22 & 

253

26 &197 Hourly Wage at Application & Exit "Weekly Earnings" have been 

changed to "Hourly Wage."

23 & 

254

27 & 

198

Hours Worked in a Week at 

Application & Exit

No change

24-30 & 

255-261

28-34 & 

199-205

Monthly Public Support Amount at 

Application & Exit

No change

31 & 

262

35 & 

206

Primary Source of Support at 

Application & Exit

No change

32-38 & 

263-269

36-41& 

207-212

Medical Insurance Coverage at 

Application & Exit

Data elements 38 and 269 are new 

elements and capture "State or 

Federal Affordable Care 

Exchange."

39 46 Date of Eligibility Determination No change

40 47 Date of Placement on Order of 

Selection Waiting List

No change

41 48 Date of Exit on Order of Selection 

Waiting List

No change

42 15 Zip Code Data element name changed from 

"Zip Code at Application" to "Zip 

Code"

43 16 County Name Data element name changed from 

"County Name at Application" to 

"County Name"

44 Organizations Referred To New data element

45 18 Involvement with Other Agencies 

and Services

Coding options added 

46-74 19 & 

191 

Education "Level of Education Attained at 

Application/ Closure" has 

changed from one data element 

with 13 coding options to 29 

discrete data elements used to 
13

New 

Data 

Element 

Number

Previous 

Data 

Element 

Number

Data Element Description Change, if any, from previous 

RSA-911

report WIOA performance 

indicators. 

75 20 & 

192

Youth with Disabilities "Student with Disability in 

Secondary Education at 

Application/Closure" changed to 

one data element entitled "Youth 

with Disabilities." While coding 

options are largely the same, the 

description of the data element has

been modified to align with 

WIOA.

76 State Definition for Age of Students 

with Disabilities

New data element

77 22 Primary Disability No change

78 23 Secondary Disability No change

79 24 Significance of Disability Clarification made to the 

description

80 42 Start Date of Trial Work Experience No change

81 43 End Date of Trial Work Experience No change

82 49 Date of Individualized Plan for 

Employment (IPE)

No change

83 50 Supported Employment Goal on 

Current IPE

Data element name changed from 

"Supported Employment Goal" to 

"Supported Employment Goal on 

Current IPE" and is reported 

quarterly to capture if the 

individual has a supported 

employment goal on his/her

current IPE. Description of the 

data element has been updated to 

reflect changes in definition of 

supported employment due to 

WIOA.

84-108 Services Provided and Costs for 

Purchased Services for PreEmployment Transition Students

New data element
14

New 

Data 

Element 

Number

Previous 

Data 

Element 

Number

Data Element Description Change, if any, from previous 

RSA-911

109-248 51-190 Services Provided and Costs for 

Purchased Services for Participants 

of the VR Program

Data element 4) Supported 

Employment State Grant "(Title 

VI)" changed to "(Title VI)."

New coding options have been 

added to data element

5) Comparable Services and 

Benefits Provider.

Service category "On-the-Job 

Supports - Supported 

Employment" - description 

changed from "not to exceed18 

months" to "not to exceed 24 

months."

Service category "Customized 

Employment" - description has

been updated due to WIOA.

249 193 Number of Jobs at Exit No change

251 195 Start Date of Employment in Primary

Occupation at Exit

Description has been clarified.

250 194 Primary Occupation at Exit May now add up to two positions. 

Homemaker and Unpaid Family

Worker codes are eliminated.

252 196 Employment Status at Exit The coding option 1 

("Employment without Supports 

in Integrated Setting") has 

changed to "Competitive 

Integrated Employment."

Coding option 2 ("Extended 

Employment") has been 

eliminated. Coding options 5 and 

6 ("Homemaker" and "Unpaid 

Family Worker") have been 

eliminated. 

Coding option 7 ("Employment 

with Supports in Integrated 

Setting") has been changed to 
15

New 

Data 

Element 

Number

Previous 

Data 

Element 

Number

Data Element Description Change, if any, from previous 

RSA-911

Competitive Integrated 

Employment with Supports."

270 213 Type of Exit Coding options are reordered and 

contain the new definition for 

employment outcomes.

271 214 Reason for Exit Reason 2 - "Disability too 

significant to benefit from VR 

services" has been changed from 

"cannot benefit" to "cannot benefit 

or continue to benefit."

Reasons have been added and 

renumbered.

272 215 Date of Exit No change

273 Unemployment Insurance Quarterly

Earnings

New data element

274 Employer Identification Number New data element

275 Case Service Record Archive Date New data element

44 Start Date of Extended Evaluation Eliminated

45 End Date of Extended Evaluation Eliminated

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.

Tabulations are generated to describe program-related characteristics by (a) State VR agency and 

by (b) specific target groups (e.g., the type of disability, race or gender). There are 80 State VR 

agencies and a large number of target groups by which the data can be displayed by type of 

closure (e.g., with or without an employment outcome).

The analysis of the data will provide demographics, relationships between variables, and program 

outcomes to assist in understanding and monitoring the VR programs. Summaries of selected 

characteristics for all persons served including those with significant disabilities are published in 

the RSA Annual Report to Congress.

The data are also used for preparing monitoring tables, determining performance against RSA’s 

standards and indicators and by researchers who conduct analyses. Data from the RSA-911 

without personally identifiable information is also transferred to the RSA Management 

Information System, through which tables are generated for use by RSA and the public.
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Timeline Process 

December 2014 Revised RSA-911 enters clearance

March 2015

Revised RSA-911 published in the Federal 

Register

September 2015 RSA-911 form approval expected

September 2015 to June 2016

State agencies update and test systems to 

address new/revised data elements

September 2016

Agencies use new data elements for FY 2017 

fiscal year

December 2016 Agencies submit FY 2017 data to RSA

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.

Approval is not being sought to omit the display of the expiration date for OMB approval of the 

information collection. 

18. Explain each exception to the certification statement identified in the Certification for 

Paperwork Reduction Act 

There are no exceptions to the certification statement identified in Item 20 of OMB Form 83-1.