Information Collection

Section 503 Self-Identification Form

IC 200170 under ICR 201610-1250-002 · OMB 1250-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1250-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
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
CC-305 Voluntary Self-Id_8 21 14 Dropdown_with ques Voluntary Self-Id_8 21 14 Dropdown_with ques.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final_FR Rvsd.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final_RUS.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final_RUS_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-CT.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-CT_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-JA.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-JA_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-KA.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305 Final Voluntary Self-Identification of Disability CC-305 Final-KA_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305_CS Voluntary Self-Identification of Disability CC-305_CS.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305_CS_ES Voluntary Self-Identification of Disability CC-305_CS_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305_GR_re Voluntary Self-Identification of Disability CC-305_GR_rev.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305_GR_re Voluntary Self-Identification of Disability CC-305_GR_rev.docm	Form
CC-305 Voluntary Self-Identification of Disability CC-305_GR_re Voluntary Self-Identification of Disability CC-305_GR_rev_ES_QA_508c.pdf	Form
CC-305 Voluntary Self-Identification of Disability CC-305_GR_re Voluntary__Self_ID_FormCC-305_French_JRF_QA_508c.pdf	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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-IdentificaciÃ³n Voluntaria de Discapacidad PDF Version	Auto-IdentificaciÃ³n 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-IdentificaciÃ³n Voluntaria de Discapacidad Microsoft Word Version	Self Id Form_SP.docx	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Id_8 21 14 Dropdown_with ques	Voluntary Self-Id_8 21 14 Dropdown_with ques.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final_FR Rvsd	Voluntary Self-Identification of Disability CC-305 Final_FR Rvsd.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final_RUS	Voluntary Self-Identification of Disability CC-305 Final_RUS.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final_RUS_ES_QA_508c	Voluntary Self-Identification of Disability CC-305 Final_RUS_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-CT	Voluntary Self-Identification of Disability CC-305 Final-CT.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-CT_ES_QA_508c	Voluntary Self-Identification of Disability CC-305 Final-CT_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-JA	Voluntary Self-Identification of Disability CC-305 Final-JA.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-JA_ES_QA_508c	Voluntary Self-Identification of Disability CC-305 Final-JA_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-KA	Voluntary Self-Identification of Disability CC-305 Final-KA.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305 Final-KA_ES_QA_508c	Voluntary Self-Identification of Disability CC-305 Final-KA_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_CS	Voluntary Self-Identification of Disability CC-305_CS.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_CS_ES_QA_508c	Voluntary Self-Identification of Disability CC-305_CS_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_GR_rev	Voluntary Self-Identification of Disability CC-305_GR_rev.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_GR_rev	Voluntary Self-Identification of Disability CC-305_GR_rev.docm	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_GR_rev_ES_QA_508c	Voluntary Self-Identification of Disability CC-305_GR_rev_ES_QA_508c.pdf	Yes	Yes	Fillable Printable
Form	CC-305	Voluntary Self-Identification of Disability CC-305_GR_rev_ES_QA_508c	Voluntary__Self_ID_FormCC-305_French_JRF_QA_508c.pdf	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: 41,699,160

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	41,699,160	-34,364,160	76,063,320
Annual IC Time Burden (Hours)	3,474,930	-2,863,680	6,338,610
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.