Information Collection

Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics

IC 179894 under ICR 200704-2030-001 · OMB 2030-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0045 can be found here:

Documents and Forms

Document Name Document Type
Form 2243.02 Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics Form
2243.02 Applicant Background Questionnaire 2248form02.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Applicant Background Questionnaire: Race, National Origin, Gender and Disability Demographics	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1614.601

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2243.02	Applicant Background Questionnaire	2248form02.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32,590	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	32,590	32,590
Annual IC Time Burden (Hours)	15,209	15,209
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.