This web site was copied prior to January 20, 2005. It is now a Federal record managed by the National Archives and Records Administration. External links, forms, and search boxes may not function within this collection. Learn more.   [hide]

Department of Interior Document DI-1935

This is a form for requesting ethnicity and race data from job applicants, using the new categories to be used in the 2000 Census.
OMB has recently renewed approval of this form through January 2003.

The Applicant Background Survey form, DI-1935 is provided in several formats:

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.