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

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

OMB: 1293-0002

IC ID: 14753

Information Collection (IC) Details

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Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VETS-1010 VETS/USERRA/VP Form 1010 vets-1010-Form-130724.docx Yes Yes Fillable Fileable Signable
Instruction VP_and_USERRA_Claim_Instructions_20131018.docx Yes Yes Printable Only
Other-Online Screen 1 e1010 1 Login Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 2 e1010 2 Sec I Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 3 e1010 3 Sec II Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 4 e1010 4 Sec III Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 5 e1010 5 Sec IV USERRA Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 6 e1010 6 Sec IV VP Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 7 e1010 7 Comments Screen.jpg Yes Yes Fillable Fileable Signable
Other-Online Screen 8 e1010 8 Signature Screen.jpg Yes Yes Fillable Fileable Signable

Workforce Management Labor Rights Management

DOL/VETS-1 and DOL/VETS-2  67 FR 16816

2,250 0
   
Individuals or Households
 
   73 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,250 0 -250 0 0 2,500
Annual IC Time Burden (Hours) 1,125 0 -125 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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