Information Collection

Federal Contractor Veterans' Employment Report VETS-4212

IC 14762 under ICR 201306-1293-001 · OMB 1293-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1293-0005 can be found here:

Documents and Forms

Document Name Document Type
Form VETS-4212 Federal Contractor Veterans' Employment Report VETS-4212 Form
VETS-4212_Instructions_2013.docx Instruction
VETS-4212 FEDERAL CONTRACTOR VETERANS’ EMPLOYMENT REPORT VETS-4212 VETS-4212 Form.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Federal Contractor Veterans' Employment Report VETS-4212	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 41 CFR 61-300 41 CFR 61-250 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VETS-4212	FEDERAL CONTRACTOR VETERANSâ EMPLOYMENT REPORT VETS-4212	VETS-4212 Form.doc		Yes	Yes	Fillable Fileable Signable
Instruction			VETS-4212_Instructions_2013.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 10,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	315,000	-78,300	0	393,300
Annual IC Time Burden (Hours)	146,500	-52,850	0	199,350
Annual IC Cost Burden (Dollars)	1,080	0	1,080	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.