Information Collection

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

IC 14753 under ICR 201003-1293-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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	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 %

table that charts list of burden
	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

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.