View Information Collection (IC)

View Information Collection (IC)

HIRE Vets Medallion Program 1293-0New(HIRE)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR part 2011, subpart B  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VETS-1011LG HIRE Vets Medallion Award Application Large Employer - Gold Award Medallion PDF Application Form (10.0_LG) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011LP HIRE Vets Medallion Award ApplicationLarge Employer - Platinum Award Medallion PDF Application Form (10.0_LP) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable
Form and Instruction VETS -1011MG HIRE Vets Medallion Award Application Medium Employer - Gold Award Medallion PDF Application Form (10.0_MG) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011MP HIRE Vets Medallion Award Application Medium Employer - Platinum Award Medallion PDF Application Form (10.0_MP) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SG HIRE Vets Medallion Award Application Small Employer - Gold Award Medallion PDF Application Form (10.0_SG) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable
Form and Instruction VETS-1011SP HIRE Vets Medallion Award Application Small Employer - Platinum Award Medallion PDF Application Form (10.0_SP) (with instruction pages)gt2.pdf Yes Yes Fillable Fileable

General Government Legislative Functions

 

7,025 1,011
   
Private Sector Businesses or other for-profits
 
   95 %

  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 34,184 34,184 0 0 0 0
Annual IC Time Burden (Hours) 58,556 58,556 0 0 0 0
Annual IC Cost Burden (Dollars) 1,845,466 1,845,466 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.