Information Collection Request
Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration
ICR 202404-0960-002 · OMB 0960-0821 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 APPENDIX A - SECTION 1110 (42 U.S.C. 1310) LEGISLATION.pdf |
Supplementary Document | Uploaded 2024-04-16 | Repair queued |
 Supporting Statement 0960-0821 Part B (revised).docx |
Supporting Statement B | Uploaded 2024-04-23 | Repair queued |
| Supporting Statement 0960-0821 Part A (revised).docx |
Supporting Statement A | Uploaded 2024-04-23 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266927 |  Enrollee Survey Round 1 (nonrespondents) |
Other-ENROLLEE SURVEY INSTRUMENTS (Round 1). | New | |
| 266926 | Enrollee Survey Round 2 (Nonrespondents) |
Other-Enrollee Survey Instruments (Round 2) | New | |
| 266925 | Follow-up interviews with service users (Nonrespondents) |
Other-Interview topics for RETAIN enrollee | New | |
| 266924 | Follow-up interviews with service users (Respondents) |
Other-Follow-up interviews with service users (respondents) | New | |
| 266923 | RETAIN Enrollee Surveys Round 2 (respondents) |
Other-ENROLLEE SURVEY INSTRUMENTS (Round 2) | New | |
| 246357 | RETAIN Provider Surveys (R1 & R2) |
Other-RETAIN PROVIDER SURVEY INSTRUMENTS (R1, R2) | Removed | |
| 246354 | RETAIN Enrollee Surveys Round 1 (respondents) |
Other-RETAIN ENROLLEE SURVEY INSTRUMENTS (R1, R2) | Modified | |
| 246353 | RETAIN Staff Activity Logs |
Other-RETAIN Staff Activity Logs | Removed | |
| 246352 | RETAIN Service Users Interview |
Other-RETAIN Service Users Interview Topics | Removed | |
| 246351 | RETAIN Staff Interviews |
Other-RETAIN Staff Interview Topics | Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0821 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202208-0960-004 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |