Information Collection

7 CFR Part 15 Subpart D - Data Collection Requirement

IC 210056 under ICR 202108-0503-001 · OMB 0503-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
7 CFR Part 15 Subpart D - Data Collection Requirement	Form and Instruction
Form to Assist in Assessment of USDA Compliance with Civ Form-Approved-AD2106 CivilRightsREGQuestionaire.docx	Form and Instruction
Form to Assist in Assessment of USDA Compliance with Civ Form-Approved-AD2106 CivilRightsREGQuestionaire.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 15

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Form to Assist in Assessment of USDA Compliance with Civil Rights Laws	Form-Approved-AD2106 CivilRightsREGQuestionaire.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	10	1,190
Annual IC Time Burden (Hours)	40	0	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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