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Fiscal Year 2020 Accomplishment Report 

Fiscal Year 2021 Plan 
Disabled Veterans Affirmative Action Program (DVAAP) Accomplishment 

Report

1. Agency 2. FY

3. POC Name 4. Phone 

5. Methods used to recruit and employ disabled veterans, especially those who are 30 percent or 

more disabled (Attach supporting addendums if needed)

6. OPM DVAAP Manager Official Use Only: Is there an explanation of the recruitment and employment 

methods they have used?

Yes Somewhat No 

Page 1 
7. Methods used to provide or improve internal advancement opportunities for disabled veterans

(Attach supporting addendums if needed)

8. OPM DVAAP Manager Official Use Only: Does agency explain the career advancement methods they have 

used?

Yes Somewhat No 

Page 2 
9. A description of how the activities of major operating components and field installations were 

monitored, reviewed, and evaluated (Attach supporting addendums if needed)

10. OPM DVAAP Manager Official Use Only: Does agency describe how they monitored, reviewed and 

evaluated their DVAAP Activities? (If applicable as well as for major operating components and field 

installations)

Yes Somewhat No 

Page 3 
11. An explanation of the agency's progress in implementing its affirmative action plan during 

the fiscal year. Where progress has not been shown, the report will cite reasons for the lack of 

progress, along with specific plans for overcoming cited obstacles to progress 

(Attach supporting addendums if needed)

12. OPM DVAAP Manager Official Use Only: Does agency explain the progress in implementing DVAAP? If 

there w progress, were there reasons for the lack of progress or challenges and specific plans for

overcoming their challenges?

Yes Somewhat No 

Page 4 
13. POC’s Name, Email, and Phone Number of Operating Components and Field Installations

(If Applicable)

Page 5 
Agency Disabled Veterans Affirmative Action Program Accomplishment 

Report 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 have 

accomplished the previous Fiscal Year in accordance with the minimal requirements of 

the accomplishment report content from Title 5 CFR Part 720 Subpart C, which is

provided on this form.

3. Collection of accomplishment data requires a completed accomplishment report data 

element that has been recorded throughout the previous Fiscal Year. Accomplishment 

reports 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 Accomplishment Report Information 

1. Agency – Provide the name of the agency.

2. FY – Provide the Fiscal Year of which the accomplishment report will be covered under. 

Examples: 2016.

3. POC Name – Provide the name of the point of contact.

4. Phone – Provide the phone number of point of contact.

5. Methods used to recruit and employ disabled veterans, especially those who are 30 

percent or more disabled – Provide methods used to recruit and employ 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. Is there an explanation of the recruitment and employment methods they have 

used? – OPM DVAAP Manager should click on “Yes”, “Somewhat” or “No” to indicate 

if the agency provided an explanation of the recruitment and employment methods they 

have used.

7. Methods used to provide or improve internal advancement opportunities for 

disabled veterans – Provide methods used to offer or improve internal advancement 

opportunities for disabled veterans. You may attach supporting addendums if the 

information provided pertains to the requirement.

8. Does agency explain the career advancement methods they have used? - OPM 

DVAAP Manager should click on “Yes”, “Somewhat” or “No” to indicate if the agency 

explains the career advancement methods they have used. 

9. A description of how the activities of major operating components and field 

installations were monitored, reviewed, and evaluated – Provide a description of how 

the activities of major operating components and field installations were monitored, 

Page 6 
reviewed, and evaluated. You may attach supporting addendums if the information 

provided pertains to the requirement.

10. Does agency describe how they monitored, reviewed and evaluated their DVAAP 

Activities? - OPM DVAAP Manager should click on “Yes”, “Somewhat” or “No” to 

indicate if the agency provided a description of how they monitored, reviewed and 

evaluated their DVAAP Activities. If applicable, indicate as well for major operating 

components and field installations.

11. An explanation of the agency's progress in implementing its affirmative action plan 

during the fiscal year. Where progress has not been shown, the report will cite 

reasons for the lack of progress, along with specific plans for overcoming cited 

obstacles to progress - Provide an explanation of the agency's progress in implementing 

its affirmative action plan during the fiscal year. Where progress has not been shown, the 

report should cite reasons for the lack of progress, along with specific plans for 

overcoming cited obstacles to progress. You may attach supporting addendums if the 

information provided pertains to the requirement.

12. Did agency explain the progress in implementing DVAAP? If there was no progress, 

were there reasons for the lack of progress or challenges and specific plans for 

overcoming their challenges? -

13. 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.

Page 7 
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

Page 1
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

Page 2
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

Page 3
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 

Page 4
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 

Page 5
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

Page 6
23. POC’s Name, Email, and Phone Number of Operating Components and Field Installations 

(If Applicable) 

Page 7
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 

Page 8
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. 

Page 9
# of 30% or More Disabled Veterans – Provide the total number of 30% or more

disabled veterans within the agency.

Did agency provide an assessment of the current status of disabled veterans,

especially those that are 30 percent or more ? – 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.

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.

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.

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.

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.

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.

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.

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. 

Page 10 
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. 

Page 11