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Section 503 Self-Identification Form
U.S. Department of Labor Office of Federal Contract Compliance Programs Recordkeeping Requirements - 29 U.S.C. 793 Section 503 of the Rehabilitation Act of 1973, As Amended
OMB: 1250-0005
IC ID: 200170
OMB.report
DOL/OFCCP
OMB 1250-0005
ICR 202306-1250-001
IC 200170
( )
Documents and Forms
Document Name
Document Type
Form CC-305
Section 503 Self-Identification Form
Form and Instruction
Form CC-305
Section 503 Self-Identification Form
Form and Instruction
CC-305 Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability form for 30 day 2.10.2023.docx
Form and Instruction
CC-305 Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability form for 30 day 2.10.2023.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:
Unchanged
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
Voluntary Self-Identification of Disability form for 30 day 2.10.2023.docx
Yes
No
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:
35,017,560
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
35,017,560
0
0
0
0
35,017,560
Annual IC Time Burden (Hours)
2,801,405
0
0
0
0
2,801,405
Annual IC Cost Burden (Dollars)
1,120,562
0
0
0
0
1,120,562
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.