OMB control number
DHS Civil Rights Evaluation Tool
OMB 1601-0024 · DHS/OS.
DHS has an obligation to enforce nondiscrimination requirements to ensure that its federally assisted programs and activities are administered in a nondiscriminatory manner. In order to carry out its enforcement responsibilities, DHS must obtain a signed assurance of compliance and collect and review information from recipients to ascertain their compliance with applicable requirements. DHS implementing regulations and the Department of Justice (DOJ) regulation Coordination of Non-discrimination in Federally Assisted Program, 28 C.F.R. Part 42, provide for the collection of data and information from recipients (see 28 C.F.R. 42.406). DHS uses DHS Form 3095: DHS Civil Rights Evaluation Tool as the primary tool to implement this information collection. The purpose of the information collection is to advise recipients of their civil rights obligations; obtain an assurance of compliance from each recipient, and collect pertinent civil rights information to ascertain if the recipient has in place adequate policies and procedures to achieve compliance, and to determine what, if any, further action may be needed to ensure the recipient is in compliance and will carry out its programs and activities in a nondiscriminatory manner.
The latest form for DHS Civil Rights Evaluation Tool expires 2027-11-30 and can be found here.
Document Name |
|---|
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
| Revision of a currently approved collection | 2024-06-24 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2023-01-11 | |
|
Approved without change |
Reinstatement without change of a previously approved collection | 2021-03-16 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2018-01-30 | |
|
Withdrawn |
New collection (Request for a new OMB Control Number) | 2016-12-19 |