Eligibility Data Form: Uniformed Services and Reemployment Rights Act and Veteran's Preference

ICR 200301-1293-001

OMB: 1293-0002

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1293-0002 200301-1293-001
Historical Active 200112-1293-001
DOL/ASVET
Eligibility Data Form: Uniformed Services and Reemployment Rights Act and Veteran's Preference
Extension without change of a currently approved collection   No
Regular
Approved without change 03/03/2003
Retrieve Notice of Action (NOA) 01/16/2003
Approved until Jan. 2004. VETS is developing an electronic option for this form using an e-signature process. Upon resubmission of this form, VETS will report to OMB on the status of implementing an electronic submission option for this collection as required by the Government Paperwork Elimination Act.
  Inventory as of this Action Requested Previously Approved
03/31/2004 03/31/2004 02/28/2003
1,500 0 1,500
375 0 375
0 0 0

The USEERA/VP1010 collects information to determine eigibility of veterans complaints for reemployment rights violations, discrimination in employment due to obligations with the uniformed service, and complaints related to veteran's preference.

None
None


No

1
IC Title Form No. Form Name
Eligibility Data Form: Uniformed Services and Reemployment Rights Act and Veteran's Preference USERRA/VP-1010

  Total Approved 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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 375 375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/16/2003


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