This original Committee made up of four member-federations (Athletics, Cycling, Football and Weightlifting) was extended provisional recognition by the International Olympic Committee in 1946, thus Trinidad and Tobago was able to send a Team to the Central American and Caribbean Games held in Barranquilla, Colombia.

Formal affiliation to the International Olympic Committee was granted to the Trinidad and Tobago Olympic Association at the International Olympic Committee session held in London (1948) on the occasion of the celebration of the 15th Olympic Games.

From four affiliates in the year 1948 the number of affiliated National Bodies now number eighteen and govern the sports of Athletics, Rugby, Badminton, Basketball, Bobsleigh Boxing, Cycling, Football, Men and Women's Hockey, Judo, Lawn Tennis, Shooting, Swimming, Table Tennis, Taekwondo, Volley Ball and Yachting.

The General Council of the Committee is composed of one delegate per affiliate, except at the Annual General Meeting, when each affiliate is allowed two delegates. The officers of the Association are:

A President, (who need not be a delegate).
A Vice President, (who must be a delegate).
A Secretary, (who need not be a delegate).
An Assistant Secretary, & A Treasurer, (who must be accredited delegates).

These Officers, together with two Trustees, the Immediate Past President and three members of the Council, form the Executive Committee which performs the daily task related to the Administration of the Committee.
The Annual General Meeting is held in the month of April, when the Secretary's Report on the activities of the Olympic Committee is presented. Also tabled at this meeting is the Audited Report of the Treasurer.

The term of office of the Officers is for a period of four years. Officers are eligible for a further four year period. After eight years (two successive four-year terms) the Officers (with the exception of the post of Secretary) are not eligible to contest the posts which they formerly held.