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Federal forms, ICRs, and supporting documents

Information Collection Request

Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference

ICR 200704-1293-006 · OMB 1293-0002 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VP-1010 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference Form Modified Repair queued
Justification for 1293-0002.doc Supporting Statement A Uploaded 0000-00-00 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14753 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference Form Modified
ICR Details
1293-0002 200704-1293-006
Historical Active 200401-1293-001
DOL/ASVET
Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference
Extension without change of a currently approved collection   No
Regular
Approved without change 07/06/2007
Retrieve Notice of Action (NOA) 04/24/2007
  Inventory as of this Action Requested Previously Approved
07/31/2010 36 Months From Approved 06/30/2007
1,500 0 1,500
375 0 375
0 0 0
The information is needed to determine eligibility of veterans complaints to 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.
US Code: 38 USC 4301 Name of Law: Uniformed Services Employment and Reemployment Rigjts Act
  
None
Not associated with rulemaking 72 FR 31 02/08/2007
  72 FR 31 02/08/2007
72 FR 77 04/23/2007
Yes
1
IC Title Form No. Form Name
Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference VP-1010 VETS/USERRA
  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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 375 375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Robert Wilson 202 693-4719 [email protected]
  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.
04/24/2007