ERA2 Title VI Assurances

Emergency Rental Assistance Program (ERA2)

Documents and Forms

Document Name Document Type
ERA2 Title VI Assurances Form and Instruction
ASSURANCES OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS ERA 2 - Title VI Assurance - FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	ERA2 Title VI Assurances	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	ASSURANCES OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS	ERA 2 - Title VI Assurance - FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 482	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	482	482
Annual IC Time Burden (Hours)	241	241
Annual IC Cost Burden (Dollars)	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.