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

Forms and Documents

Forms and supporting documents for this ICR

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

Information collection document groups

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

OMB Control No: 0960-0821	ICR Reference No: 202404-0960-002
Status: Active	Previous ICR Reference No: 202208-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/28/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved	06/30/2024
Responses	9,410	0	25,528
Time Burden (Hours)	5,578	0	6,438
Cost Burden (Dollars)	0	0	0

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Abstract: The Social Security Administration and the Department of Labor are undertaking the Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration, which will test promising early intervention approaches to improve the labor force participation and retention of individuals with recently-acquired injuries and disabilities and to reduce their future need for Social Security disability benefits. The Department of Labor (DOL) is funding the intervention approaches and American Institutes for Research to provide programmatic technical assistance for the demonstration. The Social Security Administration (SSA) is funding Mathematica to provide evaluation support for the demonstration, including evaluation-related technical assistance and conducting a comprehensive evaluation. The purpose and proposed use of this information collection is to gather qualitative and quantitative data needed to conduct the analysis, these activities, include (1) surveys of RETAIN enrollees and (2) follow-up interviews with RETAIN service users. The qualitative data collection consists of: (1) semi-structured interviews with program staff and service users; and (2) staff activity logs. Program staff interviews focus on staff’s perceptions of the successes and challenges of implementing each states program, while staff activity logs house information on staff’s time to inform the benefit-cost analysis. Service user interviews inform SSA’s understanding of users’ experiences with program services. The quantitative data include SSA’s program records and survey data. The survey data collection consists of: (1) two rounds of follow up surveys, focusing on individual-level outcomes, with enrollees, all of whom who have experienced a disability onset; and (2) two rounds of surveys with RETAIN providers. The first round of the enrollee survey began in December of 2021 and end in October of 2024. The second round will began in October of 2022 and end in October of 2025. Respondents learn of the RETAIN program data collection efforts through various outreach methods, including, but not limited to mailings, phone calls, and from other individuals. SSA is constantly reviewing our outreach strategies to ensure maximum exposure and accessibility to the materials. the respondents are staff members selected for staff interviews and staff activity logs, and RETAIN service users, enrollees, and providers.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 9887	02/12/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 24886	04/09/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Enrollee Survey Round 1 (nonrespondents)
Enrollee Survey Round 2 (Nonrespondents)
Follow-up interviews with service users (Nonrespondents)
Follow-up interviews with service users (Respondents)
RETAIN Enrollee Surveys Round 1 (respondents)
RETAIN Enrollee Surveys Round 2 (respondents)
RETAIN Provider Surveys (R1 & R2)
RETAIN Service Users Interview
RETAIN Staff Activity Logs
RETAIN Staff Interviews

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,410	25,528	0	-1,528	-14,590	0
Annual Time Burden (Hours)	5,578	6,438	0	-438	-422	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: When we last cleared this IC in 2021, the burden was 6,438 hours. However, we are currently reporting a burden of 3,201. This decrease stems a decrease in respondents and from the project only being account for year 2024 and 2025. * Note: The total burden reflected in ROCIS is 5,578, while the burden cited in #12 of the Supporting Statement is 3,201. This discrepancy is because the ROCIS burden reflects the average wait time for teleservice centers. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

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Annual Cost to Federal Government: $4,371,020

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/23/2024

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