Information Collection

Section 503 Self-Identification Form

IC 200170 under ICR 202302-1250-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
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: 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	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35,017,560	-13,782,798	48,800,358
Annual IC Time Burden (Hours)	2,801,405	-1,102,624	3,904,029
Annual IC Cost Burden (Dollars)	1,120,562	1,120,562	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.