Information Collection Request

Assurance of Compliance - Civil Rights Certificate

ICR 201502-1870-001 · OMB 1870-0503 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Civil Rights Certificate - State, Local and Tribal Governments Form and Instruction Modified Available
Civil Rights Certificate - Private Sector Form and Instruction Modified Repair queued
Supporting_Statement_Part_A - FINAL - Clean 4-24-15.docx Supporting Statement A Uploaded 2015-04-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
22632 Civil Rights Certificate - State, Local and Tribal Governments Form and Instruction Modified
201892 Civil Rights Certificate - Private Sector Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved 06/30/2015
25 0 50
4 0 17
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Civil Rights Certificate - State, Local and Tribal Governments N/A Assurance of Compliance-Civil Rights Certificate
Civil Rights Certificate - Private Sector N/A Assurance of Compliance-Civil Rights Certificate

table that charts list 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 25 50 0 -25 0 0
Annual Time Burden (Hours) 4 17 0 -13 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No