The Office for Civil Rights (OCR) collects an Assurance of Compliance (Form HHS-690) from applicants and recipients of federal financial assistance from HHS. The Form certifies compliance with federal civil rights, religious non-discrimination, and conscience protections.
This Form ensures covered entities are aware of their obligations under federal civil rights laws, conscience, and religious nondiscrimination laws enforced by OCR and certify that they will comply. Compliance with this assurance is a material condition of the continued receipt of HHS funds, and a subsequent finding of compliance under the authorities contained in this assurance may give rise to liability under the False Claims Act.
As Applicants/Recipients now may file electronically via the electronic portal, the burden was reduced in not requiring additional documentation. OCR expects the majority of respondents to complete the form through electronic submission.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Assurance of Compliance