Information Collection

VETS-404 Incentive Award Report

IC 274381 under ICR 202503-1293-001 · OMB 1293-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VETS-404 VETS-404 Incentive Award Report	Form
Form VETS-404 VETS-404 - Incentive Award Report VETS-404 Incentive Award Report	Form
VETS-404-Instructions 2025.03.docx www.dol.gov/agencies/vets/grants/state/jvsg_forms	Instruction
VETS-404-Instructions 2025.03.docx www.dol.gov/agencies/vets/grants/state/jvsg_forms	Instruction
VETS-404 VETS-404 - Incentive Award Report JVSG-VETS-404-Incentive-Award-Report-2025.03.xlsx www.dol.gov/agencies/vets/grants/state/jvsg_forms	Form
VETS-404 VETS-404 - Incentive Award Report JVSG-VETS-404-Incentive-Award-Report-2025.03.xlsx www.dol.gov/agencies/vets/grants/state/jvsg_forms	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VETS-404			https://www.dol.gov/agencies/vets/grants/state/jvsg_forms	Yes	Yes	Fillable Fileable
Instruction				https://www.dol.gov/agencies/vets/grants/state/jvsg_forms	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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