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 Modified 5333 1778 146817 Other-Survey
Other-Survey
Form and Instruction RETAIN SSA Authorization of Disclosure Form RETAIN SSA Authorization of Disclosure Form
Form and Instruction Spanish version of Disclosure Form Spanish version of Disclosure Form
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Other-Survey
Total burden requested under this ICR: 5333 1778 146817  
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