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Federal forms, ICRs, and supporting documents

Information Collection Request

Assurance of Compliance with the Department of Agriculture Regulations under Title VI of the Civil Rights Act of 1964, as Amended

ICR 199611-0524-001 · OMB 0524-0026 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
1038 Assurance of Compliance with the Department of Agriculture Regulations under Title VI of the Civil Rights Act of 1964, as Amended Form Migrated
ICR Details
0524-0026 199611-0524-001
Historical Active 199303-0524-001
USDA/NIFA
Assurance of Compliance with the Department of Agriculture Regulations under Title VI of the Civil Rights Act of 1964, as Amended
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/02/1997
Retrieve Notice of Action (NOA) 11/21/1996
  Inventory as of this Action Requested Previously Approved
04/30/2000 04/30/2000
155 0 0
1,318 0 0
0 0 0
These forms are used to obtain organizational management and financial information, as well as certification of civil rights compliance, for the purpose of enabling USDA, CSREES, to determine that applicants recommended for grant awards are responsible recipients of Federal funds.
None
None
No
1
IC Title Form No. Form Name
Assurance of Compliance with the Department of Agriculture Regulations under Title VI of the Civil Rights Act of 1964, as Amended 665, 666
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 155 0 0 155 0 0
Annual Time Burden (Hours) 1,318 0 0 1,318 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/21/1996