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Federal forms, ICRs, and supporting documents

OMB control number

USDA Program Discrimination Complaint Form

OMB 0508-0002 · USDA/AgOCR.

OMB 0508-0002

The USDA needs the information from the complainant in order to respond to alleged discriminatory action.

The latest form for USDA Program Discrimination Complaint Form expires 2027-09-30 and can be found here.

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 No material or nonsubstantive change to a currently approved collection 2024-12-05
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 No material or nonsubstantive change to a currently approved collection 2022-10-04
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 Revision of a currently approved collection 2021-02-25
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 Revision of a currently approved collection 2017-12-27
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 Extension without change of a currently approved collection 2014-09-23
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 Reinstatement with change of a previously approved collection 2011-07-06
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 New collection (Request for a new OMB Control Number) 1998-02-12
OMB Details

Program Discrimination Complaint Form (Individuals)

Federal Enterprise Architecture: Community and Social Services - Community and Regional Development

Form AD 3027 ENGUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 RUSUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 POLUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 POLUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 JAPANESEUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 ITAUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 HTCUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 CHITUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 GERUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 PUNUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027TAGUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 HEBUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 YIDUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 VIEUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 URDUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 Simplified ChineseUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction
Form AD 3027 KORUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 ARAUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 SPAUSDA Program Complaint Discrimination FormFillable PrintableForm and instruction
Form AD 3027 FRAUSDA Program Discrimination Complaint FormFillable PrintableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.