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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form VETS Form 1010 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veteran's Preference Form
VETS Form 1010 VETS/USERRA/VP Form 1010 vets1010--February2010redraft_v2 - ETLS comments Feb_12_2010.doc vets1010.dol.gov/Login.aspx?ReturnUrl=%2fdefault.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VETS Form 1010	VETS/USERRA/VP Form 1010	vets1010--February2010redraft_v2 - ETLS comments Feb_12_2010.doc	https://vets1010.dol.gov/Login.aspx?ReturnUrl=%2fdefault.aspx	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: DOL/VETS-1 and DOL/VETS-2	FR Citation: 67 FR 16816

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 66 %

	Approved	Program Change Due to New Statute	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,500	0	1,000	1,500
Annual IC Time Burden (Hours)	1,250	42	833	375
Annual IC Cost Burden (Dollars)	0	0	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.