Equal Opportunity Program Delivery Compliance Review Tool

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FS-1700-0006C Post-Award Beneficiary	Form	Modified	Repair queued
Form FS-1700-0006B Post-Award Recipient Employee	Form	Modified	Available
Form FS-1700-0006A Private Sector - EO Compliance Review Tool	Form and Instruction	Modified	Available
Form FS-1700-0006A Government IC - EO Compliance Review Reporting Tool	Form and Instruction	Modified	Available
28CFR42_401_to_415.txt	Supplementary Document	Uploaded 2011-10-19	Available
7cfr15.5.pdf	Supplementary Document	Uploaded 2011-10-19	Available
0596-0215 Supporting Statement A_v9-15-2015.docx	Supporting Statement A	Uploaded 2015-09-15	Available
1709.11_70.doc	Supplementary Document	Uploaded 2008-08-08	Available
USDA_Dept_Reg_4330-002.pdf	Supplementary Document	Uploaded 2008-08-08	Available

IC Document Collections

Information collection document groups

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

ICR Details

OMB Control No: 0596-0215	ICR Reference No: 201506-0596-004
Status: Historical Active	Previous ICR Reference No: 201210-0596-001
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Equal Opportunity Program Delivery Compliance Review Tool
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/18/2015
	Date Received in OIRA: 09/21/2015
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	36 Months From Approved	11/30/2015
Responses	11,800	0	11,250
Time Burden (Hours)	11,903	0	11,203
Cost Burden (Dollars)	0	0	0

---

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.

---

Authorizing Statute(s): 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
   US Code: 29 USC 701 Name of Law: Section 504 of the Rehabilitation Act of 1973, as amended
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 18353	04/06/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 56439	09/18/2015
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

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	11,800	11,250	0	0	550	0
Annual Time Burden (Hours)	11,903	11,203	0	0	700	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: Due to better field reporting requirements and the use of a new implemented database reporting system since the previous submission, the estimated respondents increased by 550 to 11,800, and burden increased by 700 to 11,903 hours.

---

Annual Cost to Federal Government: $577,130

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

---

Common Form ICR:  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:

(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: 09/21/2015

---