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Federal forms, ICRs, and supporting documents

Information Collection Request

Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Eligibility

ICR 202512-1293-001 · OMB 1293-0002 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 1010 USERRA/VP/VEOA Claim Form (electronic) Form Modified Available
Form 1010 USERRA/VP/VEOA Claim Form Form Modified Available
1293-0002 Supporting_Statement 2026_4_7_26 (1).docx Supporting Statement A Uploaded 2026-04-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14753 Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Eligibility Form ModifiedUSERRA/VP/VEOA Claim Form (electronic)
14753 Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Eligibility Form ModifiedUSERRA/VP/VEOA Claim Form
14753 Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Eligibility Instruction Modified
ICR Details
1293-0002 202512-1293-001
Received in OIRA 202502-1293-001
DOL/ASVET 1293-0002
Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Eligibility
Extension without change of a currently approved collection   No
Regular 04/10/2026
  Requested Previously Approved
36 Months From Approved 04/30/2026
2,250 2,250
1,688 1,688
99 0
Title 38 U.S.C. Section 4322 of USERRA authorizes the Secretary of Labor (through the Veterans' Employment and Training Service) to investigate claims by individuals who believe their USERRA rights have been violated. The information is used to determine eligibility of veterans complaints to reemployment rights they are seeking as well as to state alleged violations by employers of the pertinent statutes and request assistance in obtaining appropriate reemployment benefits. The Veterans Employment Opportunities Act (VEOA) of 1998, P.L. 105-339, 112 Stat. 3182, contained in Title 5 U.S.C. § 3330a-3330(b), provides assistance to preference eligible individuals who believe their rights under the veterans' preference laws and the Veterans Benefit Improvement Act of 2008 (Public Law No: 110-389) have been violated. Section 3 of the VEOA provides the Secretary of Labor similar authority to investigate complaints brought by preference eligibles. The collection instrument completed by claimants contains the information required and needed for the Department to determine initial eligibility of the claimant.
US Code: 38 USC 4301 Name of Law: Uniformed Services Employment and Reemployment Rigjts Act
   PL: Pub.L. 110 - 389 312 Name of Law: Veterans Benefit Improvement Act of 2008
   US Code: 5 USC 3330a Name of Law: Preference eligibles; Administrative Redress
  
None
Not associated with rulemaking
  91 FR 3230 01/26/2026
91 FR 18487 04/10/2026
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,250 2,250 0 0 0 0
Annual Time Burden (Hours) 1,688 1,688 0 0 0 0
Annual Cost Burden (Dollars) 99 0 0 0 99 0
No
No
$8,155
No
    Yes
    Yes
No
No
No
No
William Coughlin 202 693-4715 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/10/2026