REG Data Collection - Individuals

USDA Race, Ethnicity and Gender Data Collection

Documents and Forms

Document Name Document Type
Form AD-2106 REG Data Collection - Individuals Form
AD-2106 REG Form ad-2106.pdf Form
AD-2106 REG Form ad-2106.pdf Form

Information Collection (IC) Details

IC Title:	REG Data Collection - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	AD-2106	REG Form	ad-2106.pdf		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,011,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,011,250	101,250	1,910,000
Annual IC Time Burden (Hours)	67,041	3,248	63,793
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.