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

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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
Form VETS Form 1010 USERRA/VP/VEOA Claim Form ICR 1293-0002 Update Form VETS E1010 20250205.pdf https://www.dol.gov/agencies/vets/programs/userra/fileaclaim Yes Yes Fillable Fileable Signable
Instruction ICR 1293-0002 Update Form VETS E1010a - EO14168 20250203.pdf https://www.dol.gov/agencies/vets/programs/userra/fileaclaim Yes No Printable Only

Workforce Management Labor Rights Management

DOL/VETS-1 and DOL/VETS-2  67 FR 16816

2,250 0
   
Individuals or Households
 
   98 %

  Requested 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) 1,688 0 0 0 0 1,688
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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