CEO Approval for RETAIN Extension

PRA Signature Form_RETAIN extension package_5-30-2025.pdf

Retaining Employment and Talent after Injury/Illness Network (RETAIN) Demonstration Projects and Evaluation

CEO Approval for RETAIN Extension

OMB: 1230-0014

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U.S. DEPARTMENT OF LABOR
Chief Evaluation Office Concurrence of Surveys Employing Statistical Methods
TO:

David Rosenblum

DATE PREPARED: 5/30/2025

PHONE: 202-693-7840
FROM:

Laura Dawkins

PHONE: 202-693-5959
ACTION: Review the attached report proposal, indicate approval or disapproval, and return to the sponsoring agency
or program. Comments shall not be made on the proposed report but in the comments space below.

TITLE OF SURVEY OR EVALUATION:
Retaining Employment and Talent after Injury/Illness Network (RETAIN) Demonstration
Projects and Evaluation
CLEARANCE:
__X__ Approved
_____ Disapproved (see below)
_____ Approved with comments (see below)
COMMENTS:
(Insert additional pages as needed)

Disclaimer: CEO is approving only the statistical methodology as presented in the written documentation and not
necessarily passing judgment on the questionnaire itself nor on the necessity of conducting the collection of
information.

SIGNATURE OF REVIEWER

LAURA
DAWKINS

Digitally signed by LAURA
DAWKINS
Date: 2025.06.16 12:00:30
-04'00'


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AuthorAnon
File Modified2025-06-16
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