Equal Opportunity Program Delivery Compliance Review Tool

Forms and Documents

Document Name	Status
Form FS-1700-0006C Post-Award Beneficiary Form	Modified
Form FS-1700-0006B Post-Award Recipient Employee Form	Modified
Form FS-1700-0006A Private Sector - EO Compliance Review Tool Form and Instruction	Unchanged
Form FS-1700-0006A Government IC - EO Compliance Review Reporting Tool Form and Instruction	Unchanged
0596-0215 2012 Justification for Nonsub change.docx Justification for No Material/Nonsubstantive Change	2012-10-01
28CFR42_401_to_415.txt Supplementary Document	2011-10-19
7cfr15.5.pdf Supplementary Document	2011-10-19
0596-0215_2011_renewal_supporting_statement 9-11-12.docx Supporting Statement A	2012-09-13
1709.11_70.doc Supplementary Document	2008-08-08
USDA_Dept_Reg_4330-002.pdf Supplementary Document	2008-08-08

IC Document Collections

IC ID	Document Title	Status
204010	Post-Award Beneficiary Form	Modified
204009	Post-Award Recipient Employee Form	Modified
186042	Private Sector - EO Compliance Review Tool Form and Instruction	Unchanged
185737	Government IC - EO Compliance Review Reporting Tool Form and Instruction	Unchanged

ICR Details

OMB Control No: 0596-0215	ICR Reference No: 201210-0596-001
Status: Historical Active	Previous ICR Reference No: 201109-0596-004
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Equal Opportunity Program Delivery Compliance Review Tool
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/02/2012
	Date Received in OIRA: 10/02/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	09/30/2015	09/30/2015
Responses	11,250	0	11,250
Time Burden (Hours)	11,203	0	11,203
Cost Burden (Dollars)	0	0	0

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Abstract: Recipients of Federal Financial Assistance are prohibited from discriminating in the delivery of programs and services. The purpose of this collection is to monitor Federal Financial Assistance recipient compliance with Equal Opportunity laws. A typographical error was identified on the forms after OMB approval; this request corrects the issue.

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Authorizing Statute(s): US Code: 29 USC 701 Name of Law: Section 504 of the Rehabilitation Act of 1973, as amended
   US Code: 42 USC 6101-6107 Name of Law: Age Discrimination Act of 1975
   US Code: 20 USC 1681-1688 Name of Law: Title IX of the Education Amendments of 1972
   EO: EO 12250 Name/Subject of EO: Leadership and Coordination of Nondiscrimination Laws
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 40874	07/12/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 64071	10/17/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Government IC - EO Compliance Review Reporting Tool	FS-1700-0006A	Civil Rights Compliance Review Record-Federally Assisted Programs
Private Sector - EO Compliance Review Tool	FS-1700-0006A	Civil Rights Compliance Review Record-Federally Assisted Programs
Post-Award Recipient Employee	FS-1700-0006B	Civil Rights Compliance Review Record -Federally Assisted Programs, Employee Interview
Post-Award Beneficiary	FS-1700-0006C	Civil Rights Compliance Review Record -Federally Assisted Programs, Participant Interview

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ICR Summary of Burden

	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	11,250	11,250	0	0	0	0
Annual Time Burden (Hours)	11,203	11,203	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The estimated number of respondents has increased from 2,978 to 11,250, and the estimated annual burden has increased accordingly from 3,427 hours to 11,203 hours due to better field reporting requirements that have been implemented since the 2008 estimate.

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Annual Cost to Federal Government: $533,707

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/02/2012

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