Information Collection

Federal Contractor Veterans' Employment Report

IC 14762 under ICR 201704-1293-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1293-0005 Federal Contractor Veterans' Employment Report	Form and Instruction
1293-0005 FEDERAL CONTRACTOR VETERANS’ EMPLOYMENT REPORT VETS-4212 VETS-4212.pdf vets4212.dol.gov/vets4212	Form and Instruction
VETS-4212 Form and Instructions Track.docx Federal Contractor Veterans’ Employment Report VETS-4212 (Track Changes)	IC Document

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 61-250 41 CFR 61-300 (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 and Instruction	1293-0005	FEDERAL CONTRACTOR VETERANSâ EMPLOYMENT REPORT VETS-4212	VETS-4212.pdf	https://vets4212.dol.gov/vets4212	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	Previously Approved
Annual Number of Responses for this IC	315,000	315,000
Annual IC Time Burden (Hours)	164,350	164,350
Annual IC Cost Burden (Dollars)	1,080	1,080

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Federal Contractor Veteransâ Employment Report VETS-4212 (Track Changes)	VETS-4212 Form and Instructions Track.docx	07/28/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.