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Federal forms, ICRs, and supporting documents

Information Collection Request

"Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance" "Organizational Information"

ICR 200310-0524-001 · 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
1040 "Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance" "Organizational Information" Form Migrated
ICR Details
0524-0026 200310-0524-001
Historical Active 200007-0524-001
USDA/NIFA
"Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance" "Organizational Information"
Extension without change of a currently approved collection   No
Regular
Approved without change 12/17/2003
Retrieve Notice of Action (NOA) 10/21/2003
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 12/31/2003
150 0 150
1,020 0 600
0 0 0
Certification is requested from the proposed applicant that they are in compliance the Civil Rights Act of 1964. CSREES requests the name of the Authorized Organization Representatives (AOR) and the mailing address of the applicant with the AOR's signature of Form CSREES-665 as certification that the applicant is in compliance with Civil Rights Act of 1964. CSREES collects information from applicants which provides CSREES with information such as the legal name of the grantee, certification that the organization has the legal authority to aceept Federal funding, identification of the key officials of the organization,
None
None
No
1
IC Title Form No. Form Name
"Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance" "Organizational Information" CSREES-665, CSREES-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 150 150 0 0 0 0
Annual Time Burden (Hours) 1,020 600 0 0 420 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
10/21/2003