USDA Program Discrimination Complaint Form

ICR 201409-0508-001

OMB: 0508-0002

Federal Form Document

ICR Details
0508-0002 201409-0508-001
Historical Active 201106-0508-001
USDA/AgOCR
USDA Program Discrimination Complaint Form
Extension without change of a currently approved collection   No
Regular
Approved without change 12/11/2014
Retrieve Notice of Action (NOA) 09/23/2014
  Inventory as of this Action Requested Previously Approved
12/31/2017 36 Months From Approved 12/31/2014
1,000 0 1,000
1,000 0 1,000
0 0 0

The USDA needs the information from the complainant in order to respond to alleged discriminatory action.

US Code: 5 USC 301 Name of Law: null
   US Code: 29 USC 794 Name of Law: null
  
None

Not associated with rulemaking

  79 FR 31916 06/03/2014
79 FR 184 09/23/2014
No

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$625,584
No
No
No
No
No
Uncollected
Anna Stroman 202 205-5953

  No

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.
09/23/2014


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