OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HIRE Vets Medallion Program

IC 227842 under ICR 202403-1293-002 · OMB 1293-0015.

Documents and Forms
Document Name
Document Type
Other-Account Registration Page
Other-Account Registration Page
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

HIRE Vets Medallion Program
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR part 2011, subpart B  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Account Registration Page HIRE-Vets-Account-Registration.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LG HIRE Vets Application Large Employer Gold (Paper) HIRE Vets - LG - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LG HIRE Vets Application Large Employer Gold (Screenshot) HIRE Vets Application Large Employer Gold (Screenshot) VETS-1011LG.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LP HIRE Vets Application Large Employer Platinum (Paper) HIRE Vets - LP - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LP HIRE Vets Application Large Employer Platinum (Screenshot) HIRE Vets Application Large Employer Platinum (Screenshot) VETS-1011LP.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP HIRE Vets Application Medium Employer Gold (Paper) HIRE Vets - MG - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MG HIRE Vets Application Medium Employer Gold (Screenshot) HIRE Vets Application Medium Employer Gold (Screenshot) VETS-1011MG.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP HIRE Vets Application Medium Employer Platinum (Paper) HIRE Vets - MP - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP HIRE Vets Application Medium Employer Platinum (Screenshot) HIRE Vets Application Medium Employer Platinum (Screenshot) VETS-1011MP.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SG HIRE Vets Application Small Employer Gold (Paper) HIRE Vets - SG - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SG HIRE Vets Application Small Employer Gold (Screenshot) HIRE Vets Application Small Employer Gold (Screenshot) VETS-1011SG.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SP HIRE Vets Application Small Employer Platinum (Paper) HIRE Vets - SP - 2024exp.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SP HIRE Vets Application Small Employer Platinum (Screenshot) HIRE Vets Application Small Employer Platinum (Screenshot) VETS-1011SP.pdf Yes Yes Fillable Fileable

General Government Legislative Functions

 

4,500 510
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,500 0 0 -30,211 0 34,711
Annual IC Time Burden (Hours) 6,730 0 0 -52,841 0 59,571
Annual IC Cost Burden (Dollars) 169,500 0 0 169,500 0 0

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.