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

ICR 202208-0960-004

OMB: 0960-0821

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2022-08-19
Supplementary Document
2021-06-28
Supporting Statement B
2021-03-22
Supporting Statement A
2021-06-28
ICR Details
0960-0821 202208-0960-004
Received in OIRA 202103-0960-008
SSA
Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration
No material or nonsubstantive change to a currently approved collection   No
Regular 08/19/2022
  Requested Previously Approved
06/30/2024 06/30/2024
25,528 25,528
6,438 6,438
0 0

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 RETAIN demonstration consists of two Phases. The first involves cooperative awards to eight states to conduct planning and start-up activities, including the launch of a small pilot. During Phase 1, SSA will provide evaluation-related technical assistance and planning, and conduct evaluability assessments to assess which states’ projects would allow for a rigorous evaluation if continued beyond the pilot phase. DOL will select a subset of the states to continue to Phase 2, full implementation. During Phase 2, DOL will fund the operations and programmatic technical assistance activities for the selected states, and SSA will fund a full set of evaluation activities. This is a Non-Substantive Change Request to update the placeholder questions on the Provider Survey with finalized questions as per our agreement with OMB when we received approval for the survey on 6/28/21.

None
None

Not associated with rulemaking

  86 FR 667 01/06/2021
86 FR 14170 03/12/2021
No

  Total Request 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 25,528 25,528 0 0 0 0
Annual Time Burden (Hours) 6,438 6,438 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new information collection that will increase the public reporting burden.

$3,866,667
No
    No
    No
No
No
No
No
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/19/2022


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