Uniformed Services Employment
and Reemployment Rights Act (USERRA) Inquiry and Support
Request
New
collection (Request for a new OMB Control Number)
No
Regular
12/21/2023
Requested
Previously Approved
36 Months From Approved
977
0
81
0
2,117
0
This form is intended for those who
are experiencing civilian employment problems related to military
obligations and is needed to record information related to the
mediation of disputes and answering of inquiries related to the
USERRA; by tracking case assignments and mediation results of
potential conflicts between employers and the National Guard,
Reserves, or National Disaster Medical Service members they employ;
and by reporting statistics related to the Employer Support of the
Guard and Reserve (ESGR) Ombudsman Program in aggregate and at the
state committee-level. These records are also used as a management
tool for statistical analysis, tracking, reporting, evaluating
program effectiveness and conducting research. Service members will
request ESGR assistance as related to their rights and
responsibilities pursuant to USERRA. Electronic form to be
submitted through the www.ESGR.mil website,
https://www.esgr.mil/USERRA/USERRA-Contact/USERRA-Support-Request/t/1.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.