Form ST-131 Biographical Sketch

Expiration Date: TBD
OMB No.: 1290-0NEW

U.S. Department of Labor BIOGRAPHICAL SKETCH
Provide the following information for the senior/key personnel and other significant
contributors. Follow this format for each person. See U.S. Department of Labor Biographical
Sketch Details document for specific details on filling out this form.
DO NOT EXCEED THREE PAGES.
NAME:
DATE OF SUBMISSION:
POSITION TITLE:
PRIMARY ORGANIZATION & LOCATION:
PROFESSIONAL PREPARATION:
PREVIOUS
ORGANIZATION(S) &
LOCATION(S)

DEGREE (if
applicable)

COMPLETION DATE*
(YYYY-MM)

FIELD OF STUDY

APPOINTMENTS & POSITIONS (Most recent three):
START DATE – END
DATE

APPOINTMENT OR POSITION TITLE, ORGANIZATION, & LOCATION

PROJECT WORK (Most recent three to four):
TITLE

PERIOD OF
PERFORMANCE

ROLE

DESCRIPTION

Data Collection Instrument Disclosure with Record Retention Periods
OMB No.: 1290-0NEW
Expiration: TBD
CEO Form No.: ST-131
Public reporting burden for this form is estimated to average 2 hours per response. The burden
estimate includes the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and submitting the form. This collection of information
is required to obtain or retain benefits and will be retained for 60 days. You are not required to
respond to this collection of information unless it displays a valid OMB control number. Please send
comments regarding the burden estimate or any other aspect of this collection of information to the
U.S. Department of Labor, OASP S-2218, 200 Constitution Ave NW, Washington, DC 20210 or
[email protected] and reference OMB control number 1290-0NEW. NOTE: Please do not send your
completed form to this address.