Federal Contractor Veterans' Employment Report

Forms and Documents

Document Name	Status
Form VETS-4212 Federal Contractor Veterans' Employment Report Form and Instruction	Modified
Justification for No Material VETS-4212 June 2015.docx Justification for No Material/Nonsubstantive Change	2015-06-25
VETS-4212 changes.pdf Supplementary Document	2015-07-28
VETS-4212 Form and Instructions Approved.pdf Supplementary Document	2015-06-09
4212 Supporting Statement(20140908).doc Supporting Statement A	2014-09-25

IC Document Collections

IC ID	Document Title	Status
14762	Federal Contractor Veterans' Employment Report Form and Instruction	Modified

ICR Details

OMB Control No: 1293-0005	ICR Reference No: 201506-1293-001
Status: Historical Active	Previous ICR Reference No: 201407-1293-001
Agency/Subagency: DOL/ASVET	Agency Tracking No: DOL-OASAM-VETS-OAMB-M-001
Title: Federal Contractor Veterans' Employment Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2015
	Date Received in OIRA: 07/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	11/30/2017	11/30/2017
Responses	315,000	0	315,000
Time Burden (Hours)	164,350	0	164,350
Cost Burden (Dollars)	1,080	0	1,080

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Abstract: The Veterans' Employment and Training Service (VETS) is responsible for administering the requirement under the Vietnam Era Veterans' Readjustment Assistance Act, 38 U.S.C. 4212(d) The contractor responsible for receiving the Federal Contractor Veterans' Employment Report VETS-4212 changed their physical address and this nonsubstantive change is requested to reflect this change of address on the currently approved Federal Contractor Veterans' Employment Report VETS-4212 OMB NO: 1293-0005.

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Authorizing Statute(s): US Code: 38 USC 4212 Name of Law: Vietnam Era Veterans Readjustment Assistance Act of 1974
   PL: Pub.L. 107 - 288 2035 Name of Law: Jobs for Veterans Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1293-AA20	Final or interim final rulemaking	79 FR 57463	09/25/2014

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 12529	03/05/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 57577	09/25/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Federal Contractor Veterans' Employment Report	VETS-4212	Federal Contractor Veterans' Employment Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	315,000	315,000	0	0	0	0
Annual Time Burden (Hours)	164,350	164,350	0	0	0	0
Annual Cost Burden (Dollars)	1,080	1,080	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $725,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/28/2015

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