Program Discrimination Complaint Form (Private Sector)

USDA Program Discrimination Complaint Form

OMB: 0508-0002

IC ID: 198398

Information Collection (IC) Details

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Program Discrimination Complaint Form (Private Sector)
 
No Modified
 
Voluntary
 
7 CFR 15.6

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A USDA Program Discrimination Complaint Form AD3027 Program Discrimination Complaint From (proposed form) 10.04.22.pdf Yes No Fillable Printable

Community and Social Services Community and Regional Development

USDA/OASCR-1, Civil Rights Enterprise System, (CRES)  83 FR 65135

72 20
   
Private Sector Farms, Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 72 0 0 0 0 72
Annual IC Time Burden (Hours) 72 0 0 0 0 72
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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