Information Collection

Assurance Of Compliance With The Department Of Agriculture Regulations Under Title Vi Of The Civil Rights Act Of 1964

IC 99125 under ICR 199002-0524-001 · OMB 0524-0026.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	ASSURANCE OF COMPLIANCE WITH THE DEPARTMENT OF AGRICULTURE REGULATIONS UNDER TITLE VI OF THE CIVIL RIGHTS ACT OF 1964	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CSRS-665				No	No
Form	666				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 324	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	324	64	260
Annual IC Time Burden (Hours)	2,754	544	2,210
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.