DHS Civil Rights Compliance Form 3095

DHS Civil Rights Compliance Form

OMB: 1601-0024

IC ID: 224608

Information Collection (IC) Details

View Information Collection (IC)

DHS Civil Rights Compliance Form 3095
 
No Modified
 
Mandatory
 
44 CFR Part 7 6 CFR Part 21  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DHS Form 3095 DHS Civil Rights Compliance Form DHS Form 3095.pdf http://dhs.gov/resources-recipients-dhs-financial-assistance Yes Yes Fillable Fileable

Homeland Security Key Asset and Critical Infrastructure Protection

DHS/ALL-029  75 FR 39266

2,929 0
   
State, Local, and Tribal Governments
 
   100 %

  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 1,962 0 0 0 0 1,962
Annual IC Time Burden (Hours) 5,886 0 0 0 0 5,886
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DHS Form 3095 Proposed Updates DHS Civil Rights Evaluation Tool Proposed updates 3 2021.pdf 03/16/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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