Information Collection

Federal Contractor Veterans' Employment Report

IC 14762 under ICR 201710-1293-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form and Instruction
Login.jpg vets4212.dol.gov/vets4212 Other-Log-in Screen
VETS-4212 FEDERAL CONTRACTOR VETERANS’ EMPLOYMENT REPORT VETS-4212 VETS-4212.pdf vets4212.dol.gov/vets4212 Form and Instruction
E Form VETS-4212 Form.jpg vets4212.dol.gov/vets4212 Form

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 41 CFR 61-250 41 CFR 61-300 (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 and Instruction	VETS-4212	FEDERAL CONTRACTOR VETERANSâ EMPLOYMENT REPORT VETS-4212	VETS-4212.pdf	https://vets4212.dol.gov/vets4212	Yes	Yes	Fillable Fileable
Form	E Form	VETS-4212	Form.jpg	https://vets4212.dol.gov/vets4212	Yes	Yes	Fillable Fileable Signable
Other-Log-in Screen			Login.jpg	https://vets4212.dol.gov/vets4212	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: 21,000	Number of Respondents for Small Entity: 10,000

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

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	378,000	0	63,000	315,000
Annual IC Time Burden (Hours)	129,200	-68,020	32,870	164,350
Annual IC Cost Burden (Dollars)	1,298	0	218	1,080

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.