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

IC 14753 under ICR 202502-1293-001 · OMB 1293-0002.

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Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VETS Form 1010 USERRA/VP/VEOA Claim Form VETS-Form-1010_20250327.pdf https://www.dol.gov/agencies/vets/programs/userra/fileaclaim Yes Yes Fillable Fileable Signable
Instruction VETS-Form-1010a-20250327.pdf https://www.dol.gov/agencies/vets/programs/userra/fileaclaim Yes No Printable Only

Workforce Management Labor Rights Management

DOL/VETS-1 and DOL/VETS-2  67 FR 16816

2,250 0
   
Individuals or Households
 
   98 %

  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 2,250 0 0 0 0 2,250
Annual IC Time Burden (Hours) 1,688 0 0 0 0 1,688
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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