Program Discrimination Complaint Form (Individuals)

USDA Program Discrimination Complaint Form

OMB: 0508-0002

IC ID: 987

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Program Discrimination Complaint Form (Individuals)
 
Yes Modified
 
Voluntary
 
7 CFR 15.6

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction AD 3027 FRA USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_FR_Remediated-FRA.pdf Yes No Fillable Printable
Form and Instruction AD 3027 ENG USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_EN_Fillable_Remediated.pdf Yes No Fillable Printable
Form and Instruction AD 3027 SPA USDA Program Complaint Discrimination Form ad-3027s Dec 5 2024.pdf No   Fillable Printable
Form and Instruction AD 3027 ARA USDA Program Complaint Discrimination Form AD-3027-v7-July-31-2024-Draft_ARA_Fillable_Remediated-ARA.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 HEB USDA Program Complaint Discrimination Form AD-3027-v7-July-31-2024-Draft_HEB_Fillable_Remediated-HEB.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 KOR USDA Program Complaint Discrimination Form AD-3027-v7-July-31-2024-Draft_KOR_Fillable_Remediated-KOR.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 Simplified Chinese USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_ZHO_Fillable_Remediated-CHIS.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 URD USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_URD_Fillable_Remediated-URD.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 VIE USDA Program Complaint Discrimination Form AD-3027-v7-July-31-2024-Draft_VIE_Fillable_Remediated-VIE.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 YID USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_YID_Fillable_Remediated-YID.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027TAG USDA Program Complaint Discrimination Form AD-3027-v7-July-31-2024-Draft_TGL_Fillable_Remediated-TAG.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 PUN USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_PAN_Fillable_Remediated-PUN.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 GER USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_DE_Remediated-GER.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 CHIT USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_TC_Remediated-CHIT.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 HTC USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_HT_Remediated-HTC.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 ITA USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_IT_Remediated-ITA.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 JAPANESE USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_JA_Remediated-JAP.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 POL USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_PL_Remediated-POL.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 POL USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_PT_Remediated-POR.pdf Yes Yes Fillable Printable
Form and Instruction AD 3027 RUS USDA Program Discrimination Complaint Form AD-3027-v7-July-31-2024-Draft_RU_Remediated-RUS.pdf Yes Yes Fillable Printable

Community and Social Services Community and Regional Development

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

158 0
   
Individuals or Households
 
   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 158 0 0 0 0 158
Annual IC Time Burden (Hours) 158 0 0 0 0 158
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
© 2024 OMB.report | Privacy Policy