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MD-715 - Part I Agency EEO Plan to Eliminate Identified Barrier

 

EEOC Form
U.S. Equal Employment Opportunity Commission

FEDERAL AGENCY ANNUAL EEO PROGRAM STATUS REPORT

Please describe the status of each plan that the agency implemented to identify possible barriers in policies, procedures, or practices for employees and applicants by race, ethnicity, and gender.

 

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If the agency did not conduct barrier analysis during the reporting period, please check the box.

 

Statement of Condition That Was a Trigger for a Potential Barrier:

Source of the Trigger

Specific Workforce Data Table

Narrative Description of Trigger

   

EEO Group(s) Affected by Trigger

EEO Group

All Men
All Women
Hispanic or Latino Males
Hispanic or Latino Females
White Males
White Females
Black or African American Males
Black or African American Females
Asian Males
Asian Females
Native Hawaiian or Other Pacific Islander Males
Native Hawaiian or Other Pacific Islander Females
American Indian or Alaska Native Males
American Indian or Alaska Native Females
Two or More Races Males
Two or More Races Females

Barrier Analysis Process

Sources of Data

Source Reviewed?

(Yes or No)

Identify Information Collected

Workforce Data Tables  
Complaint Data (Trends)  
Grievance Data (Trends)  
Findings from Decisions (e.g., EEO, Grievance, MSPB, Anti-Harassment Processes)  
Climate Assessment Survey (e.g., FEVS)  
Exit Interview Data  
Focus Groups  
Interviews  
Reports (e.g., Congress, EEOC, MSPB, GAO, OPM)  
Other (Please Describe)  

Status of Barrier Analysis Process

Barrier Analysis Process Completed?

(Yes or No)

Barrier(s) Identified?

(Yes or No)

  

Statement of Identified Barrier(s)

Description of Policy, Procedure, or Practice

 
 
 

 

Objective(s) and Dates for EEO Plan

Objective

Date Initiated (mm/dd/yyyy)

Target Date (mm/dd/yyyy)

Sufficient Funding & Staffing?

(Yes or No)

Modified Date (mm/dd/yyyy)

Date Completed (mm/dd/yyyy)

      
      
      

Responsible Official(s)

Title

Name

Performance Standards Address the Plan?

(Yes or No)

   
   
   

Planned Activities Toward Completion of Objective

Target Date (mm/dd/yyyy)

Planned Activities

Modified Date (mm/dd/yyyy)

Completion Date (mm/dd/yyyy)

    
    
    

Report of Accomplishments

Fiscal Year

Accomplishments

 

 

 

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