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

View Information Collection (IC)

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
Instruction VP_and_USERRA_Claim_Instructions_20131018.docx Yes Yes Printable Only
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
Form and Instruction VETS-1010 VETS/USERRA/VP Form 1010 vets-1010_Rev2021.pdf https://vets1010.dol.gov Yes Yes Fillable Fileable Signable
Form and Instruction VETS-1010 USERRA/VP Electronic Complaint Form e1010 1 Login Screen.jpg https://vets1010.dol.gov/ 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
 
   80 %

  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 0 0 0 2,250
Annual IC Time Burden (Hours) 1,125 0 0 0 0 1,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy