Information Collection

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

IC 45863 under ICR 201002-0524-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

table that charts list of 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: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	189	-15	204
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.