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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Retaining Employment and Talent after Injury/Illness Network (RETAIN) Demonstration Projects and Evaluation
New
5333
1778
146817
Other-Survey
Other-Survey
Form and Instruction
3
RETAIN SSA Authorization of Disclosure Form
Total burden requested under this ICR:
5333
1778
146817
To view an IC, click on IC Title