RETAIN Provider Surveys (R1 & R2)

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

OMB: 0960-0821

IC ID: 246357

Documents and Forms

Document Name Document Type
APPENDIX G - PROVIDER SURVEY INSTRUMENTS (R1, R2).pdf Other-RETAIN PROVIDER SURVEY INSTRUMENTS (R1, R2)
APPENDIX H - PROVIDER SURVEY MAILINGS (R1, R2).pdf Other-RETAIN PROVIDER SURVEY MAILINGS (R1, R2)
Provider Survey - Finalized Quetions (C15 - C18).pdf Other-Finalized Survey Questions C15-C18
APPENDIX G - PROVIDER SURVEY INSTRUMENTS (R1, R2) - Current Version.pdf Current Provider Survey Questions (showing placeholders for C15-C18) IC Document