Information Collection Request

Assurance of Compliance - Civil Rights Certificate

ICR 202103-1870-001 · OMB 1870-0503 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Assurance of Compliance - Civil Rights Certificate Form Modified Available
Civil Rights Certificate - State, Local and Tribal Governments Form Modified Repair queued
Assurance of Compliance - Civil Rights Certificate Form Modified Available
Civil Rights Certificate - Private Sector Form Modified Repair queued
SUPPORTING STATEMENT A v2 - OCR Assurances 2021 - Round 2 FINAL.docx Supporting Statement A Uploaded 2021-07-07 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2024 36 Months From Approved 10/31/2021
25 0 25
8 0 8
0 0 0





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

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 25 0 0 0 0
Annual Time Burden (Hours) 8 8 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No