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Section 503 Self-Identification Form
OFCCP Recordkeeping and Reporting Requirements - Section 503 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 703
OMB: 1250-0005
IC ID: 200170
OMB.report
DOL/OFCCP
OMB 1250-0005
ICR 201402-1250-001
IC 200170
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1250-0005 can be found here:
2023-06-13 - No material or nonsubstantive change to a currently approved collection
2023-03-22 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CC-305
Section 503 Self-Identification Form
Form and Instruction
CC-305 Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability CC-305 Final 1 14 14_JRF_QA_....pdf
Form and Instruction
CC-305 Auto-Identificación Voluntaria de Discapacidad PDF Versi
Auto-Identificación Voluntaria de Discapacidad_QA_508c.pdf
Form and Instruction
CC-305 Volunary Self-Identification of Disability Microsoft Wor
Voluntary Self-Identification of Disability CC-305 Final 1 14 14.docm
Form and Instruction
CC-305 Auto-Identificación Voluntaria de Discapacidad Microsoft
Self Id Form_SP.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Section 503 Self-Identification Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
41 CFR 60-741 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CC-305
Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability CC-305 Final 1 14 14_JRF_QA_....pdf
Yes
Yes
Fillable Printable
Form and Instruction
CC-305
Auto-Identificación Voluntaria de Discapacidad PDF Version
Auto-Identificación Voluntaria de Discapacidad_QA_508c.pdf
Yes
Yes
Fillable Printable
Form and Instruction
CC-305
Volunary Self-Identification of Disability Microsoft Word Version
Voluntary Self-Identification of Disability CC-305 Final 1 14 14.docm
Yes
Yes
Fillable Printable
Form and Instruction
CC-305
Auto-Identificación Voluntaria de Discapacidad Microsoft Word Version
Self Id Form_SP.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
76,063,320
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
76,063,320
0
0
0
0
76,063,320
Annual IC Time Burden (Hours)
6,338,610
0
0
0
0
6,338,610
Annual IC Cost Burden (Dollars)
0
0
0
0
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.