U.S. DEPARTMENT OF THE INTERIOR

APPLICANT BACKGROUND SURVEY FORM DI-1935

This is a form for requesting ethnicity, race and gender data from job applicants, using the new categories used in the 2000 Census. OMB approved this information collection form through April 30, 2009.

The Applicant Background Survey form (DI-1935) is provided in two formats:

· Form DI-1935 as a standard MS Word Document for normal viewing in Microsoft Word.

· Form DI-1935 as a PDF File if you need to print an "exact" copy.  If you have never used this format, please refer to our Adobe Acrobat Reader page

· The DI-1935 is in compliance with the new government Standards for Maintaining, Collecting, and Presenting Federal Data on Race and Ethnicity, excerpted from the September 30, 1997 Federal Register

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U.S. Department of the Interior
Deputy Assistant Secretary
Performance, Accountability, and Human Resources
Web Contact: PAHR_Webmaster@ios.doi.gov
Last Updated on 5/4/06