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Follow-up interviews with service users (Nonrespondents)
Retaining Employment and Talent After Injury/Illness Network (RETAIN) demonstration
OMB: 0960-0821
IC ID: 266925
OMB.report
SSA
OMB 0960-0821
ICR 202404-0960-002
IC 266925
( )
Documents and Forms
Document Name
Document Type
Appendix D - Interview topics for RETAIN enrollees.pdf
Other-Interview topics for RETAIN en
Appendix D - Interview topics for RETAIN enrollees.pdf
Other-Interview topics for RETAIN en
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Follow-up interviews with service users (Nonrespondents)
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-Interview topics for RETAIN enrollee
Appendix D - Interview topics for RETAIN enrollees.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:
30
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
30
0
0
30
0
0
Annual IC Time Burden (Hours)
3
0
0
3
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.