United States Department of the Interior

Office of the Secretary

Washington, D.C. 20240

EQUAL OPPORTUNITY DIRECTIVE NUMBER 2003-10

TO: Bureau/Office Equal Opportunity Officers

FROM: E. Melodee Stith, Director, Office for Equal Opportunity

SUBJECT: Department of the Interior Applicant Background Survey Form DI-1935

In accordance with the Paperwork Reduction act, the Office of Management and Budget has approved the Department’s request for an extension of DI Form 1935. This approval became effective March 30, 2002, and will expire on March 31, 2006. The DI-1935 is used to collect race, national origin and gender data from applicants for employment.

A copy of the form is attached for your convenience. You may also retrieve a copy of the subject form from the DOI website (http://www.doi.gov/diversity/doc/di1935.htm).

Attachment

Distribution: All Bureau/Office Equal Opportunity Officers

Inquiries: Samuel Bowser, Assistant Director for Workforce Diversity, Departmental Office for Equal Opportunity, (202) 208-5549

Expiration: March 31, 2006