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OMB Number: 1820
- 0608
**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 hard**  **copy of the appropriate section of each statute and regulation mandating or auth**  **orizing 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.**  Sec. 752(i)(2)(A) of the Rehabilitation Act of 1973, as amended, (attachment A) and the cor responding regulations in 34 CFR 367.11(d) require each grantee under this program to submit an annual report to the Commissioner of the Rehabilitation Services Administration (RSA) on essential demographic, service and outcome information. There is no di fference between this data collection instrument and the previous one used from FY 2010 through FY 2013 which will expire in May 2014. RSA therefore requests an extension to use this data collection instrument from FY 2014 through 2016. **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 information collected by RSA will be used to evaluate the pro gram, including any new GPRA requirements, and make recommendations to Congress. It provides RSA with a uniform and efficient method of monitoring the program for compliance with statutory and regulatory

requirements. The information collected via the F orm available cannot be used or modified for use of the purposes described in Item 2 above. ED (RSA)
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- OB is the sole instrument collecting data on services provided under the Title VII, Chapter 2 program
. **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.**  This collection uses the RSA's central reporting system which allows states to submit their information electronically
. The decision to promote the use of this system was2

OMB Number: 1820
- 0608 made to provide an option to respondents to submit required information more quickl y and easil y. This system also auto
- calculates numbers and identifies errors before reports can be submitted, which reduces both state and federal government burden by allowing States to correct errors quickly and easil y before the reports are submitted to the federal government for review. **4. Describe ef** 

**forts to identify duplication. Show specifically why any similar**  **info rmation already available cannot be used or modified for use for the purposes**  **described in Item 2 above.**  This is the only

data collection instrument used for this purpose. There is no duplication. **5. If the collection of information impacts small businesse**  **s 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 organizat** **ion 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.** This collection does not involve any small business 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 a s any technical or legal**  **obstacles to reducing burden.** An annual collection is required under Sec. 752(i)(2)(A) of the 1992 Amendments, and is necessary for the RSA Commissioner to respond to legislative requirements of an annual report to the President and to Congress as mandated by Sec. 13 of the Rehabilitation Act of 1973 (Attachment B). This data must also be collected annuall y in order for RSA to determine substantial progress required for the annual funding of formula grants to all non - competing Des ignated State Agencies. **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;** 
 **requiring respondents to prepare a writt en 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 cont**  **ract, grant -**  **in -**  **aid, or tax records for more than three years;**3

OMB Number: 1820
- 0608

 **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 consis tent with the pledge, or that 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 would require this information to be collected in a different manner than set forth in the Act. **8. As**  **applicab le,**  **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 ob**  **tained 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**  **c ircumstances should be explained.**  During its initial development, the collection instrument and instructions were reviewed by the National Council of State Agencies for the Blind, and almost 90% of the project directors funded under the program. All comments and suggestions were considered and several recommendations were adopted. A special workgroup recommended the current changes for the ED RSA
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- OB reporting form and the elimination of the participant survey . IL
- OIB project directors reviewed these changes and provided comments at a meeting on June 23, 201 3
. A 60 day and 30 day

notice was published in the Federal Register for public comment , with no comments received during the 60
- day comment period.4

OMB Number: 1820
- 0608 **9. Explain any decision to provide any p**  **ayment or gift to respondents, other than remuneration of contractors or grantees**  **with meaningful justification .**  No pay ment or gift has been provided 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 Pri vacy 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 collect ion 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 make s**  **no pledge about the confidentially of the data.** The written request does not contain specific or personal information ; there are no assurances of confidentiality
. **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 inform ation is**  **requested, and any steps to be taken to obtain their consent.** The written request does not contain any question of a sensitive nature. **12. Provide estimates of the hour burden of the collection of information. The**  **statement should:**

 **Indicate the nu mber 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, an nual hour burden, and an explanation of how the**  **burden was estimated, including identification of burden ty pe: recordkeeping,**  **reporting or third party disclosure. All narrative should be included in item 12. Unless directed to do so, agencies should not c**  **onduct special surveys to obtain information on which to base hour burden estimates. Consultation with a** 5

OMB Number: 1820
- 0608

**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 t**  **han 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 Tota**  **l 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.**  We estimate that there will be 56 respondents with an estimated 6 hours needed to for a total annual burden of 336 hours. Annual Burden Number of respondents 56 Frequency

of response Annually Total annual responses 56 Hours per response 6* Total burden hours 336 State hourly

rate of salary $2 0 Total cost (exf) $ 6,720 *The hour burden associated with this information collection is estimated at 6 hours per State or Territory . The estimated hour burden per State or Territory is not expected to vary

significantly
. Estimated burden hours are founded on judgments from previous State written request submittals for similar RSA grants. **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,** 6

OMB Number: 1820
- 0608

**among other items, preparations for collecting information such as purchasing computers and software; monitoring, sampling, drillin**  **g 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 informat ion 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 ec onomic 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 othe**  **r 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:**  $.00 **Total Annual Costs (O&M):** .00 **Total Annualized Costs Requested:** $.00 No additional operational expenses are required. **14. Provide estimates of annualized cost to the Federal government. Also, provi**  **de 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**  **collec tion of information. Agencies also may aggregate cost estimates from Items**  **12, 13, and 14 in a single table.**
a. Review of each written request
- - .16 hour b. Number of written requests to review
- - 56 c. Total time to review written requests
- - 9 hours d. Federal hourl y rate of salary
- - $38 e. Total cost (cxd)
- - $4,256 The average review and approval of an ED RSA
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- OB form takes 2 hours. The RSA staffer who reviews the completed forms is paid at an average rate of $38 per hour. The cost of the review and approval process is 2 hours x $38/hour x 56 reports = $4,256, annual federal cost.7

OMB Number: 1820
- 0608 **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 s ize 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 res pondent 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 cost s**  **(if applicable) .**  There are no program changes or adjustments to this extension request. **16. For collections of information whose results will be published, o**  **utline 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, publi**  **cation dates, and other actions.**  The information collected will not be published for statistical use. **17. If seeking approval to not display the expiration date for OMB approval of the**  **information collection, explain the reasons that display would be inappr opriate.**  This document is not seeking OMB approval not to display the expiration date. **18. Explain each exception to the certification statement identified in the Certification**  **of Paperwork Reduction Act.** This document meets each of the criteria outlined in the "Certification for Paperwork Reduction Act Submissions."