Information Collection

Federal Contractor Veterans' Employment Report

IC 14762 under ICR 201407-1293-001 · OMB 1293-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1293-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VETS-4212 Federal Contractor Veterans' Employment Report	Form
VETS-4212 Instructions.docx vets100.dol.gov/vets100/	Instruction
VETS-4212 Federal Contractor Veterans' Employment Report VETS-4212 Form.docx vets100.dol.gov/vets100/	Form
VETS-100A Federal Contractor Veterans' Employment Report vets-100a-form-rev-2014.pdf vets100.dol.gov/vets100/	Form and Instruction

IC Title:

Federal Contractor Veterans' Employment Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 41 CFR 61-300 41 CFR 61-250 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-4212	Federal Contractor Veterans' Employment Report	VETS-4212 Form.docx	https://vets100.dol.gov/vets100/	Yes	Yes	Fillable Fileable
Instruction			VETS-4212 Instructions.docx	https://vets100.dol.gov/vets100/	Yes	Yes	Printable Only
Form and Instruction	VETS-100A	Federal Contractor Veterans' Employment Report	vets-100a-form-rev-2014.pdf	https://vets100.dol.gov/vets100/	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

Number of Respondents for Small Entity: 10,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	315,000	-78,300	0	393,300
Annual IC Time Burden (Hours)	164,350	-35,000	0	199,350
Annual IC Cost Burden (Dollars)	1,080	0	1,080	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.