Information Collection

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

IC 99126 under ICR 199303-0524-001 · 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 AS AMENDED	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: 135	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	135	-189	324
Annual IC Time Burden (Hours)	1,147	-1,607	2,754
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.