Program Discrimination Complaint Form (State, Local and Tribal Government)

USDA Program Discrimination Complaint Form

OMB: 0508-0002

IC ID: 198399

Information Collection (IC) Details

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Program Discrimination Complaint Form (State, Local and Tribal Government)
 
No Unchanged
 
Voluntary
 
7 CFR 15.6

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A USDA Program Discrimination Complaint Form USDA complaint form final.docx Yes No Fillable Printable
Form N/A USDA Program Discrimination Complaint Form USDA complaint form spanish.docx Yes No Fillable Printable

Community and Social Services Community and Regional Development

 

25 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 25 0 0 0 0 25
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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