Information Collection

VETS-404 Incentive Award Report

IC 274381 under ICR 202503-1293-001 · OMB 1293-0009.

Documents and Forms

Document Name Document Type
Form VETS-404 VETS-404 Incentive Award Report Form
VETS-404-Instructions 2025.03.docx www.dol.gov/agencies/vets/grants/state/jvsg_forms Instruction
VETS-404 VETS-404 - Incentive Award Report JVSG-VETS-404-Incentive-Award-Report-2025.03.xlsx www.dol.gov/agencies/vets/grants/state/jvsg_forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VETS-404 Incentive Award Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	VETS-404	VETS-404 - Incentive Award Report	JVSG-VETS-404-Incentive-Award-Report-2025.03.xlsx	https://www.dol.gov/agencies/vets/grants/state/jvsg_forms	Yes	Yes	Fillable Fileable
Instruction			VETS-404-Instructions 2025.03.docx	https://www.dol.gov/agencies/vets/grants/state/jvsg_forms	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	54	54
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.