Information Collection

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

IC 1040 under ICR 202201-0524-003 · OMB 0524-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0524-0026 can be found here:

Documents and Forms

Document Name Document Type
Form NIFA-666 Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance and Organizational Information Form
NIFA-666 Organizational Information NIFA-666 Form.docx Form
NIFA-666 Organizational Information NIFA-666 Form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Assurance of Compliance with the Department of Agriculture Regulations Assuring Civil Rights Compliance and Organizational Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 3016 7 CFR 3019 7 CFR 3015

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NIFA-666	Organizational Information	NIFA-666 Form.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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