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Information Collection

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

IC 235436 under ICR 202506-1230-001 · OMB 1230-0014.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Information Collection (IC) Details

View Information Collection (IC)

Retaining Employment and Talent after Injury/Illness Network (RETAIN) Demonstration Projects and Evaluation 201803-0320-001
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey RETAIN Baseline Participant Form Part 1, 2025.docx Determined by each RETAIN grantee separately Yes Yes Fillable Fileable
Other-Survey RETAIN Baseline Participant Form Part 2, 2025.docx Determined by each RETAIN grantee separately Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

150 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 -5,163 0 0 5,313
Annual IC Time Burden (Hours) 50 0 -1,721 0 0 1,771
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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