HIRE Vets Medallion Program

Honoring Investments in Recruiting and Employing American Veterans Medallion Program

OMB: 1293-0015

IC ID: 227842

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Account Creation Page
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

HIRE Vets Medallion Program
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR part 2011, subpart B  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VETS-1011LG HIRE Vets Medallion Award Application Large Employer Gold HIRE Vets - LG - Paper - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LP HIRE Vets Medallion Award Application Large Employer Platinum HIRE Vets - LP - Paper - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP 2018 HIRE VETS Application Medium Employer Platinum Gold (Screenshots) HIRE Vets - MP - Electronic - Full.pdf Yes Yes Fillable Fileable
Other-Account Creation Page Account Creation Page - Electronic - 20180126.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SG HIRE Vets Medallion Award Application Small Employer, Gold HIRE Vets - SG - Paper - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP HIRE Vets Medallion Award Application Medium Employer Platinum HIRE Vets - MP - Paper - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SP 2018 HIRE VETS Application Small Employer Platinum (Screenshots) HIRE Vets - SP - Electronic - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SP HIRE Vets Medallion Award Application Small Employer - Platinum HIRE Vets - SP - Paper - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LP 2018 HIRE VETS Application Large Employer Platinum (Screenshots) HIRE Vets - LP - Electronic - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MG 2018 HIRE VETS Application Medium Employer Gold (Screenshots) HIRE Vets - MG - Electronic - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SG 2018 HIRE VETS Application Small Employer Gold (Screenshots) HIRE Vets - SG - Electronic - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LG 2018 HIRE VETS Application Large Employer Gold (Screenshots) HIRE Vets - LG - Electronic - Full.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MG HIRE Vets Medallion Award Application Medium Employer Gold HIRE Vets - MG - Paper - Full.pdf Yes Yes Fillable Fileable

General Government Legislative Functions

 

7,136 1,011
   
Private Sector Businesses or other for-profits
 
   95 %

  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 34,711 0 0 0 0 34,711
Annual IC Time Burden (Hours) 59,571 0 0 0 0 59,571
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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