DHS Civil Rights Compliance Form

ICR 201611-1601-001

OMB: 1601-0024

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Supplementary Document
2016-12-14
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supporting Statement A
2016-12-19
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
Supplementary Document
2016-11-28
ICR Details
1601-0024 201611-1601-001
Historical Inactive
DHS/OS
DHS Civil Rights Compliance Form
New collection (Request for a new OMB Control Number)   No
Regular
Withdrawn 05/01/2017
Retrieve Notice of Action (NOA) 12/19/2016
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

The purpose of the information collection is to advise recipients of their civil rights obligations; obtain an assurance of compliance from each recipient, and collect pertinent civil rights information to ascertain if the recipient has in place adequate policies and procedures to achieve compliance, and to determine what, if any, further action may be needed to ensure the recipient is in compliance and will carry out its programs and activities in a nondiscriminatory manner.

US Code: 20 USC 1681 Name of Law: Title IX of the Education Amendments of 1972
   US Code: 29 USC 794 Name of Law: Section 504 of the Rehabilitation Act of 1973
   US Code: 42 USC 2000d-1 Name of Law: Civil Rights Act of 1964
   US Code: 42 USC 6101 Name of Law: Age Discrimination Act of 1975
  
None

Not associated with rulemaking

  81 FR 65390 09/22/2016
81 FR 90372 12/14/2016
Yes

Yes
Miscellaneous Actions
No
This is a new collection.

$466,489
No
No
No
No
No
Uncollected
Tyrone Huff 202 447-0106 [email protected]

  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.
12/19/2016


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