Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request

ICR 202312-0704-001

OMB: 0704-0678

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
202312-0704-001
Received in OIRA
DOD/DODDEP 0704-ERRA
Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request
New collection (Request for a new OMB Control Number)   No
Regular 12/21/2023
  Requested Previously Approved
36 Months From Approved
977 0
81 0
2,117 0

This form is intended for those who are experiencing civilian employment problems related to military obligations and is needed to record information related to the mediation of disputes and answering of inquiries related to the USERRA; by tracking case assignments and mediation results of potential conflicts between employers and the National Guard, Reserves, or National Disaster Medical Service members they employ; and by reporting statistics related to the Employer Support of the Guard and Reserve (ESGR) Ombudsman Program in aggregate and at the state committee-level. These records are also used as a management tool for statistical analysis, tracking, reporting, evaluating program effectiveness and conducting research. Service members will request ESGR assistance as related to their rights and responsibilities pursuant to USERRA. Electronic form to be submitted through the www.ESGR.mil website, https://www.esgr.mil/​USERRA/​USERRA-Contact/​USERRA-Support-Request/​t/​1.

None
None

Not associated with rulemaking

  88 FR 30099 05/10/2023
88 FR 88378 12/21/2023
No

  Total Request 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 977 0 0 977 0 0
Annual Time Burden (Hours) 81 0 0 81 0 0
Annual Cost Burden (Dollars) 2,117 0 0 2,117 0 0
Yes
Miscellaneous Actions
No
This is a new collection with a new associated burden.

$80,370
No
    Yes
    Yes
No
No
No
No
LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.ctr@mail.mil

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/21/2023


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