OMB
.report
Search
RETAIN Service Users Interview
Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration
OMB: 0960-0821
IC ID: 246352
OMB.report
SSA
OMB 0960-0821
ICR 202103-0960-008
IC 246352
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0821 can be found here:
2024-04-23 - Revision of a currently approved collection
2022-08-19 - No material or nonsubstantive change to a currently approved collection
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
View Information Collection (IC)
IC Title:
RETAIN Service Users Interview
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Federal Enterprise Architecture Business Reference Module
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
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
600
0
0
600
0
0
Annual IC Time Burden (Hours)
90
0
0
90
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.