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Federal forms, ICRs, and supporting documents

Information Collection Request

ELIGIBILITY DATA FORM FOR REQUESTING ASSISTANCE IN OBTAINING VETERANS' REEMPLOYMENT RIGHTS

ICR 199202-1293-002 · OMB 1293-0002 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
124018 ELIGIBILITY DATA FORM FOR REQUESTING ASSISTANCE IN OBTAINING VETERANS' REEMPLOYMENT RIGHTS Form Migrated
ICR Details
1293-0002 199202-1293-002
Historical Active 198904-1293-001
DOL/ASVET
ELIGIBILITY DATA FORM FOR REQUESTING ASSISTANCE IN OBTAINING VETERANS' REEMPLOYMENT RIGHTS
Revision of a currently approved collection   No
Regular
Approved without change 05/22/1992
Retrieve Notice of Action (NOA) 02/25/1992
We have approved this information collection requirement for three yea with the following condition, which the agency has accepted: ASVET wil place a Privacy Act statement on the form.
  Inventory as of this Action Requested Previously Approved
06/30/1995 06/30/1995 06/30/1992
2,500 0 2,000
625 0 500
0 0 0
THE INFORMATION IS NEEDED TO DETERMINE ELIGIBILITY OF VETERAN COMPLAINANTS FOR REEMPLOYMENT RIGHTS THEY ARE SEEKING AS WELL AS TO STATE ALLEGED VIOLATIONS BY EMPLOYERS OF THE PERTINENT STATUTES AND REQUEST ASSISTANCE IN OBTAINING APPROPRIATE REEMPLOYMENT BENEFITS.
None
None
No
1
IC Title Form No. Form Name
ELIGIBILITY DATA FORM FOR REQUESTING ASSISTANCE IN OBTAINING VETERANS' REEMPLOYMENT RIGHTS VETS/VRR, 1010
  Total Approved 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 2,500 2,000 0 0 500 0
Annual Time Burden (Hours) 625 500 0 0 125 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
02/25/1992