RETAIN Service Users Interview

Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0821 can be found here:

Documents and Forms

Document Name Document Type
APPENDIX C - INTERVIEW TOPICS FOR RETAIN SERVICE USERS.pdf Other-RETAIN Service Users Interview
APPENDIX C - INTERVIEW TOPICS FOR RETAIN SERVICE USERS.pdf Other-RETAIN Service Users Interview

Information Collection (IC) Details

IC Title:	RETAIN Service Users Interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-RETAIN Service Users Interview Topics			APPENDIX C - INTERVIEW TOPICS FOR RETAIN SERVICE USERS.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	90	90
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.