Information Collection

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

IC 14753 under ICR 200704-1293-006 · OMB 1293-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1293-0002 can be found here:

Documents and Forms

Document Name Document Type
Form VP-1010 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference Form
VP-1010 VETS/USERRA VETS 1010 4 (2007).doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VP-1010	VETS/USERRA	VETS 1010 4 (2007).doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.