Applicant Background Questionnaire

Demographic information on applicates for federal employment

Documents and Forms

Document Name Document Type
Management Directive 715.htm www.eeoc.gov/federal/directives/md715.cfm Other-
3046-0046 Demographic Information on Applicants Applicant Tracking Form (5 June 2023).docx Form

Information Collection (IC) Details

IC Title:	Applicant Background Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			Management Directive 715.htm	https://www.eeoc.gov/federal/directives/md715.cfm	Yes	Yes	Printable Only
Form	3046-0046	Demographic Information on Applicants	Applicant Tracking Form (5 June 2023).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: OPM Central 11	FR Citation: 87 FR 22

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	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.