Information Collection

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

IC 14753 under ICR 200704-1293-006 · OMB 1293-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1293-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VP-1010 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference	Form
VP-1010 VETS/USERRA VETS 1010 4 (2007).doc	Form

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VP-1010	VETS/USERRA	VETS 1010 4 (2007).doc		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.