Information Collection

HIRE VETS - Program Demonstration

IC 228840 under ICR 201801-1293-011 · OMB 1293-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1293-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Account Creation Page - Electronic - 20180126.pdf	Other-Application Account Creation P
VETS-1011LG 2018 HIRE VETS Application Large Employer Gold (Screensh HIRE Vets - LG - Electronic - Demo.pdf	Form and Instruction
VETS-1011LG HIRE Vets Medallion Award Application Large Employer Gol HIRE Vets - LG - Paper - Demo.pdf	Form and Instruction
VETS-1011LP 2018 HIRE VETS Application Large Employer Platinum (Scre HIRE Vets - LP - Electronic - Demo.pdf	Form and Instruction
VETS-1011LP HIRE Vets Medallion Award Application Large Employer Pla HIRE Vets - LP - Paper - Demo.pdf	Form and Instruction
VETS-1011MG 2018 HIRE VETS Application Medium Employer Gold (Screens HIRE Vets - MG - Electronic - Demo.pdf	Form and Instruction
VETS-1011MG HIRE Vets Medallion Award Application Medium Employer Go HIRE Vets - MG - Paper - Demo.pdf	Form and Instruction
VETS-1011MP 2018 HIRE VETS Application Medium Employer Platinum (Scr HIRE Vets - MP - Electronic - Demo.pdf	Form and Instruction
VETS-1011MP HIRE Vets Medallion Award Application Medium Employer Pl HIRE Vets - MP - Paper - Demo.pdf	Form and Instruction
VETS-1011SG 2018 HIRE VETS Application Small Employer Gold (Screensh HIRE Vets - SG - Electronic - Demo.pdf	Form and Instruction
VETS-1011SG HIRE Vets Medallion Award Application Small Employer Gol HIRE Vets - SG - Paper - Demo.pdf	Form and Instruction
VETS-1011SP 2018 HIRE VETS Application Small Employer Platinum (Scre HIRE Vets - SP - Electronic - Demo.pdf	Form and Instruction
VETS-1011SP HIRE Vets Medallion Award Application Small Employer Pla HIRE Vets - SP - Paper - Demo.pdf	Form and Instruction
Footnotes for OMB.docx Footnotes for OMB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

HIRE VETS - Program Demonstration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR Part 2011, subpart B (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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Application 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 - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011LP	HIRE Vets Medallion Award Application Large Employer Platinum	HIRE Vets - LP - Paper - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011SP	HIRE Vets Medallion Award Application Small Employer Platinum	HIRE Vets - SP - Paper - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011LG	HIRE Vets Medallion Award Application Large Employer Gold	HIRE Vets - LG - Paper - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011MP	HIRE Vets Medallion Award Application Medium Employer Platinum	HIRE Vets - MP - Paper - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011SP	2018 HIRE VETS Application Small Employer Platinum (Screenshots)	HIRE Vets - SP - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011MG	2018 HIRE VETS Application Medium Employer Gold (Screenshots)	HIRE Vets - MG - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011LG	2018 HIRE VETS Application Large Employer Gold (Screenshots)	HIRE Vets - LG - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011LP	2018 HIRE VETS Application Large Employer Platinum (Screenshots)	HIRE Vets - LP - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011MG	HIRE Vets Medallion Award Application Medium Employer Gold Award	HIRE Vets - MG - Paper - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011MP	2018 HIRE VETS Application Medium Employer Platinum (Screenshots)	HIRE Vets - MP - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VETS-1011SG	2018 HIRE VETS Application Small Employer Gold (Screenshots)	HIRE Vets - SG - Electronic - Demo.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 100

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	468	468
Annual IC Time Burden (Hours)	865	865
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Footnotes for OMB	Footnotes for OMB.docx	11/07/2017

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