Section 503 Self-Identification Form

Office of Federal Contract Compliance Programs Recordkeeping and Reporting Requirements Under Rehabilitation Act of 1973, as Amended Section 503

⚠️ Notice: This information collection may be referencing outdated material.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

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 503 Self-ID Form 1 22 20 Final.docx Form and Instruction
CC-305 Voluntary Self-Identification of Disability (with tracke 503 Self-ID Form (tracked changes).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Section 503 Self-Identification Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	503 Self-ID Form 1 22 20 Final.docx		Yes	No	Fillable Printable
Form and Instruction	CC-305	Voluntary Self-Identification of Disability (with tracked changes)	503 Self-ID Form (tracked changes).docx		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48,800,358	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	48,800,358	7,101,198	41,699,160
Annual IC Time Burden (Hours)	3,904,029	429,099	3,474,930
Annual IC Cost Burden (Dollars)	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.