Document
Submission for OMB Review; Comment Request
The DoD has submitted to the Office of Management and Budget (OMB) for clearance the following proposal for collection of information under the provisions of the Paperwork Reduc...
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number:
Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request; DD Form 3021; OMB Control Number 0704-ERRA.
Type of Request:
New.
Number of Respondents:
977.
Responses per Respondent:
1.
Annual Respondents:
977.
Average Burden per Response:
5 minutes.
Annual Burden Hours:
81.
Needs and Uses:
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.
Affected Public:
Individuals or households.
Frequency:
On occasion.
Respondent's Obligation:
Voluntary.
OMB Desk Officer:
Ms. Jasmeet Seehra.
You may also submit comments and recommendations, identified by Docket ID number and title, by the following method:
Instructions:
All submissions received must include the agency name, Docket ID number, and title for this
Federal Register
document. The general policy for comments and other submissions from members of the public is to make these submissions available for public viewing on the internet at
http://www.regulations.gov
as they are received without change, including any personal identifiers or contact information.
DOD Clearance Officer:
Ms. Angela Duncan.
Requests for copies of the information collection proposal should be sent to Ms. Duncan, 571-372-0493,
whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil.
Dated: December 15, 2023.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.