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  • Powell, Eric J®©™-SF181 Office of Management and Budget Form Fax September 11, 2015 A.D.E.

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    Shabazz-El Foundation ©®™
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    -SF181 Redacted Form. -Integrated Postsecondary Education Data System. -H. Res. 194. -13th Amendment with 20 Sections of Constitution of the United States.

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    -SF181 Redacted Form. -Integrated Postsecondary Education Data System. -H. Res. 194. -13th Amendment with 20 Sections of Constitution of the United States.

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    18 views11 pages

    Powell, Eric J®©™-SF181 Office of Management and Budget Form Fax September 11, 2015 A.D.E.

    Uploaded by

    Shabazz-El Foundation ©®™
    -SF181 Redacted Form. -Integrated Postsecondary Education Data System. -H. Res. 194. -13th Amendment with 20 Sections of Constitution of the United States.

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    HP Officejet Pro 8610 Series Fax Log for ‘Shabazz-El Foundation 980 492-6802 ‘Sep 11 2015 6:19PM Last Transaction Date Time Type Station 1D Duration Pages Result Digital Fax. Sep11 6:14PM Fax Sent 2023953729 4:42 10 OK NA First Page of Sent Fax }Fax ou seme EAT SECONDLY SOUCATEN DAE Pa ene yt ee) ca oe a eee. }Fax 9/9/2015 From Erie Jerome Powell (without prejudice) Phone: 229-289-5812 Fax: 980-492-6802 Company Name Pages: 10 Pages Including fax cover sheet °: ‘The Office of Management and Budget Phone: 202-395-4790 Fax 202-395-3729 ‘Company Name: omB ‘Comments: Pursuant to the herein documents immediate correction in ALL RECORDS; Priority commanded. SF181 (1 Page) INTEGRATED POSTSECONDARY EDUCATION DATA SYSTEM (1 Page) H. RES. 194 (4 Pages) 13™ Amendment with 20 Sections of Constitution of the United States of America; ratified November 18, 1865 by % of the several states (3 pages) DK] Ureem [J ForReview —[] Please Comment [[] Please Reply [[] Please Recycle US. Office of Personnel Management ETHNICITY AND RACE IDENTIFICATION Guide to Personnel Data Standards (Please read the Privacy Act Stalement and instructions before completing form.) Nome (Last, First, Middle iia) ‘Sosial Security Number ‘ithdate (Month and Year) Without Prejudice POWELL, ERIC JEROME REDACTED ovis7e. “Agency Use Only Privacy Act Statement Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with the Office of Management and Budget’s 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance ‘of missing information, your employing agency will tempt to identify your race and ethnicity by visual observation. ‘This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies. Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment status. If SSN is not provided, however, other agency sources may be used to obtain it. ‘Specific Instructions: The two questions below are designed to Identify your ethnicity and race. Regardless of your answer to ‘question 1, goto question 2. ‘Question 4. Are You Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Gentral American, or other ‘Spanish culture or origin, regardless of race.) Oyes J No ‘Question 2. Please select the racial category or categories with which you most closely identify by placing an °X° in the appropriate box. Check as many as apply. RACIAL CATEGORY NITION OF CATEGORY (Check as many as apply) beni 1H American indian or Alaska Native ‘A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal sffiiation or community attachment Asian ‘A person having etigins in any of the criginal peoples of the Far East, Southeast ‘Asia, or the Indian subcontinent including, for example, Cambodia, China. india, X Maor Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. I Black or Afican American ‘A person having erigine in any of the black racial groupe of Aiea. O Native Hawaiian or Other Pacifc Islander | A person having origins in any ofthe original peoples of Hawail, Guam, Samoa, or other Pacific lslande, 2 white ‘A person having origins in any of the orginal peoples of Europe, the Middle East, or North Attica, ‘Standard Form 181 Revised August 2005 Previous edtions not usable 42US.C. Section 20006-18 NSN 7540-01-000-3446 i205 ‘The Inlegroted Postsecondary Edveation Data System - Detnitions for New Race and Eitnicity Calogories “TOS Seas jome About Joinin Training & Outreach | NPEC: IPEDS R&D | Report Your D DEFINITIONS FOR NEW RACE AND ETHNICITY CATEGORIES Racaltniy (ww dein Ecogoree coved in 109 Oe of Managumart and Be! (OMB) thre sod oder rtp with blog, Hoty Who sonny nie oe connunty. To capes a0 cots torso entoponge ergs. Te ets ae cage 175 enor rato ana an aero ro

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