Information Collection

Section 503 Self-Identification Form

IC 200170 under ICR 202306-1250-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	35,017,560	35,017,560
Annual IC Time Burden (Hours)	2,801,405	2,801,405
Annual IC Cost Burden (Dollars)	1,120,562	1,120,562

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.