Permission not to display the OMB control number is not granted for this collection. The OMB control number along with the expiration date must be displayed on the approved forms.
Inventory as of this Action
Requested
Previously Approved
08/31/2015
36 Months From Approved
08/31/2012
2,927
0
2,863
5,854
0
5,726
0
0
0
The purpose of this collections is to track and monitor racial/ethnic data for program evaluation and compliance with the Civil Rights Act.
This is revision a currently approved collection. The proposed burden of 5,854 hours for FY 2012 is an increase of 128 hours from the current burden of 5,726 hours. The adjustment is due to an increase in the number of respondents from 2,863 to 2,927 that will complete a report.
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.
Form FNS 101 Screenshot Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101
Federal Cost Estimate Table.pdf
Supporting Statement - OMB 0584-0025 REV 5 24 12v2.docx
Civil Rights Title VI - Collection Reports - FNS-191 and FNS-101