Disabled Veterans Affirmative Action Program (DVAAP) Plan and
Certification
1. Agency 2. FY
3. POC Name 4. Phone
5. A statement of the agency's policy with regard to the employment and advancement of
disabled veterans, especially those who are 30 percent or more disabled (Attach supporting
addendums if needed)
6. OPM DVAAP Manager Official Use Only: Did agency provide a policy outline in regards to the
employment and advancement of disabled veterans, especially those that are 30 percent or more disabled?
Yes Somewhat No
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7. An assessment of the current status of disabled veteran employment within the agency, with
emphasis on those veterans who are 30 percent or more disabled (Attach supporting
graphs/charts if needed)
8. Total #
Employees
9. # Of
Veterans
10. # Of Disabled
Veterans
11. # Of 30% Or More
Disabled Veterans
12. OPM DVAAP Manager Official Use Only: Did agency provide an assessment of the current status of
disabled veterans, especially those that are 30 percent or more disabled?
Yes Somewhat No
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13. A description of recruiting methods which will be used to seek out disabled veteran
applicants, including special steps to be taken to recruit veterans who are 30 percent or more
disabled (Attach supporting addendums if needed)
14. OPM DVAAP Manager Official Use Only: Did agency provide a description of recruiting methods that
they will use to seek out disabled veterans?
Yes Somewhat No
15. OPM DVAAP Manager Official Use Only: Did agency provide special steps that would be taken to recruit
30 percent or more disabled veterans?
Yes Somewhat No
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16. A description of how the agency will provide or improve internal advancement opportunities
for disabled veterans (Attach supporting addendums if needed)
17. OPM DVAAP Manager Official Use Only: Did agency provide a description of how they will provide
internal advancement opportunities for disabled veterans?
Yes Somewhat No
18. OPM DVAAP Manager Official Use Only: If needed, is there a plan of how the agency will improve
internal advancement opportunities for disabled veterans?
Yes Somewhat No Not Needed
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19. A description of how the agency will inform its operating components and field installations,
on a regular basis, of their responsibilities for employing and advancing disabled veterans
(Attach supporting addendums if needed)
20. OPM DVAAP Manager Official Use Only: Did agency provide a description on how they will inform their
operating components and field installations, on responsibilities such as the employment and advancement of
disabled veterans? (Not Applicable for agencies that do not have operating components or field installations)
Yes Somewhat No Not Applicable
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21. A description of how the agency will monitor, review, and evaluate its planned efforts,
including implementation at operating component and field installation levels during the period
covered by the plan (Attach supporting addendums if needed)
22. OPM DVAAP Manager Official Use Only: Did agency provide a description on how they will monitor,
review and evaluate its planned efforts? (If applicable as well as for major operating components and field
installations)
Yes Somewhat No
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23. POC’s Name, Email, and Phone Number of Operating Components and Field Installations
(If Applicable)
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Plan Certification
The plans shall cover a time period of not less than one year, and may cover a longer period if concurrent with
the agency's Section 501(b) Plan. Each plan must specify the period of time it covers.
Agency must have a plan covering all of its operating components and field installations. The plan shall include
instructions assigning specific responsibilities on affirmative actions to be taken by the agency's operating
components and field installations to promote the employment and advancement of disabled veterans. OPM
must be informed when headquarters offices require plans at the field or installation level.
Agency operating components and field installations must have a copy of the plan covering them, and must
implement their responsibilities under the plan. OPM may require operating components and field installations
to develop separate plans in accordance with program guidance and/or instructions.
Certification
The below certification indicates that the program is being implemented as required by 5 CFR Part 720,
Subpart C and appropriate guidance issued by the U.S. Office of Personnel Management. Additionally, this
agency has a current plan as required by the regulation.
Please type or print clearly. After an original signature is obtained, scan and return this sheet.
24. Dates of the Period of Time the Plan is Covered From To
25. Agency Name
26. DVAAP POC’s Name
27. Title
28. Telephone Number 29. Email
30. Date Plan Last Amended 31. Date Effective
32. DVAAP Certifying Official’s Name
33. Title
34. Telephone Number 35. Email
36. DVAAP Certifying Official Signature 37. Date
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click to sign
signature
click to edit
Agency Disabled Veterans Affirmative Action Program Plan and Certification
Electronic Reporting Instructions
General Instructions:
1. Complete all items and questions in the forms field.
2. Electronic Requirements – Agency should only submit data for what they are planning to
do for the next Fiscal Year in accordance with the minimal requirements of the plan
content from Title 5 CFR Part 720 Subpart C, which is provided on this form.
3. Collection of plan data requires a completed plan data element that has been recorded to
be used throughout the Fiscal Year. Plans may vary from agency to agency. This form
provides conformity and standardization for the minimal required core data. The forms
have limited characters so agency may attach addendums when needed, if the form does
not allow you to capture the data completely.
DVAAP Plan and Certification Information
1. Agency – Provide the name of the agency.
2. FY – Provide the Fiscal Year of which the plan will be covered under. If the plan is
covering more than one year capture it in the form field, as seen on the following
example: 2016-2018.
3. POC Name – Provide the name of the point of contact.
4. Phone – Provide the phone number of point of contact.
5. A statement of the agency's policy with regard to the employment and advancement
of disabled veterans, especially those who are 30 percent or more disabled – Provide
a statement of the agency's policy in regards to the employment and advancement of
disabled veterans, especially those who are 30 percent or more disabled. You may attach
supporting addendums if the information provided pertains to the requirement.
6. Did agency provide a policy outline in regards to the employment and advancement
of disabled veterans, especially those that are 30 percent or more disabled? OPM
DVAAP Manager should click on “Yes”, “Somewhat” or “No” to indicate if the agency
provided a policy in regards to the employment and advancement of disabled veterans,
especially those that are 30 percent or more disabled.
7. An assessment of the current status of disabled veteran employment within the
agency, with emphasis on those veterans who are 30 percent or more disabled -
Provide an assessment of the current status within the agency of the total amount of
employees, veterans, disabled veterans and emphasizing those veterans who are 30
percent or more disabled. You may attach supporting graphs, charts, and addendums if
the information provided pertains to the requirement.
8. # of Employees – Provide the total number of employees within the agency.
9. # of Veterans Provide the total number of veterans within the agency.
10. # of Disabled Veterans - Provide the total number of disabled veterans within the
agency.
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11. # of 30% or More Disabled VeteransProvide the total number of 30% or more
disabled veterans within the agency.
12. Did agency provide an assessment of the current status of disabled veterans,
especially those that are 30 percent or more disabled? OPM DVAAP Manager
should click on “Yes”,Somewhat” or “No” to indicate if the agency provided an
assessment of the current status of disabled veterans, especially those that are 30 percent
or more disabled.
13. A description of recruiting methods which will be used to seek out disabled veteran
applicants, including special steps to be taken to recruit veterans who are 30 percent
or more disabled Provide a description of recruiting methods which will be used to
seek out disabled veteran applicants, including special steps to be taken to recruit veterans
who are 30 percent or more disabled. You may attach supporting addendums if the
information provided pertains to the requirement.
14. Did your agency provide a description of recruiting methods that they will use to
seek out disabled veterans? - OPM DVAAP Manager should click on “Yes”,
“Somewhat” or “No” to indicate if the agency provided a description of recruiting
methods that they will use to seek out disabled veterans.
15. Did your agency provide special steps that would be taken to recruit 30 percent or
more disabled veterans? - OPM DVAAP Manager should click on “Yes”, “Somewhat”
or “No” to indicate if the agency provided special steps that would be taken to recruit 30
percent or more disabled veterans.
16. A description of how the agency will provide or improve internal advancement
opportunities for disabled veterans – Provide a description of how the agency will
provide or improve internal advancement opportunities for disabled veterans. You may
attach supporting addendums if the information provided pertains to the requirement.
17. Did your agency provide a description of how they will provide internal
advancement opportunities for disabled veterans? - OPM DVAAP Manager should
click on “Yes”, “Somewhat” or “No” to indicate if the agency provided a description of
how they will provide internal advancement opportunities for disabled veterans.
18. If needed, is there a plan of how your agency will improve internal advancement
opportunities for disabled veterans? - OPM DVAAP Manager should click on “Yes”,
“Somewhat”, “No”, or “Not Needed” to indicate if agency provided a description of how
they will improve internal advancement opportunities for disabled veterans.
19. A description of how the agency will inform its operating components and field
installations, on a regular basis, of their responsibilities for employing and
advancing disabled veterans Provide a description of how the agency will inform its
operating components and field installations, on a regular basis, of their responsibilities
for employing and advancing disabled veterans. You may attach supporting addendums if
the information provided pertains to the requirement. For agencies that do not have
operating components or field installations, state in the form field N/A.
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20. Did your agency provide a description on how they will inform their operating
components and field installations, on responsibilities such as the employment and
advancement of disabled veterans? - OPM DVAAP Manager should click on “Yes”,
“Somewhat”, “No”, or “Not Applicable” to indicate if agency provided a description on
how they will inform their operating components and field installations on a regular
basis, on responsibilities such as the employment and advancement of disabled veterans.
Not Applicable for agencies that do not have operating components or field installations.
21. A description of how the agency will monitor, review, and evaluate its planned
efforts, including implementation at operating component and field installation
levels during the period covered by the plan Provide a description of how the agency
will monitor, review, and evaluate its planned efforts, if applicable, including
implementation at operating component and field installation levels during the period
covered by the plan. You may attach supporting addendums if the information provided
pertains to the requirement.
22. Did your agency provide a description on how they will monitor, review and
evaluate its planned efforts? OPM DVAAP Manager should click on “Yes”,
“Somewhat” or “No” to indicate if the agency provides a description on how they will
monitor, review and evaluate its planned efforts.
23. POC’s Name, Email, and Phone Number of Operating Components and Field
Installations If applicable provide point of contact’s name, email, and phone number
of operating components and field installations.
24. Dates of the Period of Time the Plan is Covered Provide the start date of the plan and
the end date of the plan.
25. Agency Name Provide the name of the agency.
26. DVAAP POC’s Name Provide the DVAAP point of contact’s name.
27. Title Provide the title of the point of contact.
28. Telephone Number Provide the phone number of the point of contact.
29. Email Provide the email of the point of contact.
30. Date Plan Last Amended Provide the date of when the plan was last amended.
31. Date Effective Provide the date when the plan is effective.
32. DVAAP Certifying Official’s Name Provide the DVAAP Certifying Official’s name.
33. Title Provide the title of the DVAAP Certifying Official.
34. Telephone Number Provide the phone number of the DVAAP Certifying Official.
35. Email Provide the email of the DVAAP Certifying Official.
36. DVAAP Certifying Official Signature DVAAP Certifying Official must provide an
electronic signature or print out the page and hand sign the plan certification.
37. Date Provide the date that plan was signed.
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