Information Collection Request
Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request
ICR 202403-0704-002 · OMB 0704-0678 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DD3021 Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry |
Form | Modified | Available |
 Justification for Change 0704-0678.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-20 | Available |
| Supporting Statement Part A_0704-0678.docx |
Supporting Statement A | Uploaded 2024-03-20 | Available |
 DHRA-16 ICMS SORN 23 SEP 2020.pdf |
Supplementary Document | Uploaded 2023-12-11 | Available |
| ICMS Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2023-12-11 | Available |
| USERRA Information Request DD Form 3021 Webpage.pdf |
Supplementary Document | Uploaded 2023-12-11 | Available |
| Agency Disclosure Notice 0704-ERRA.docx |
Supplementary Document | Uploaded 2023-12-05 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 263806 |  Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOD/DODDEP |
| OMB Control No | 0704-0678 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202312-0704-001 |
| Agency Tracking No | 0704-ERRA |
| Date Submitted to OIRA | 2024-03-20 |
| Requested Expiration Date | 1969-12-31 |