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Federal forms, ICRs, and supporting documents

OMB control number

USDA Program Discrimination Complaint Form

OMB 0508-0002 ยท 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 is listed under ICR 202411-0508-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form AD 3027 RUS USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 POL USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 POL USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 JAPANESE USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 ITA USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 HTC USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 CHIT USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 GER USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 PUN USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027TAG USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 YID USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 VIE USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 URD USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 Simplified USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 KOR USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 HEB USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 ARA USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 SPA USDA Program Complaint Discrimination FormForm and Instruction
Form AD 3027 ENG USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 FRA USDA Program Discrimination Complaint FormForm and Instruction
Form AD 3027 FRA Program Discrimination Complaint Form (Individuals)Form and Instruction
Form AD-3027 ES Fillabl USDA Program Compliant FormForm and Instruction
Form AD-3027-v7-July-31 USDA Program Compliant FormForm and Instruction
Form AD 3027 Program Discrimination Complaint FormForm
Form AD 3027 USDA Program Discrimination Complaint FormForm
Form AD 3027 Program Discrimination Complaint Form (State, Local and Tribal Government)Form
Form AD-3027-v7-July-31 USDA Program Compliant FormForm and Instruction
Form AD-3027-v7-July-31 USDA Program Compliant FormForm and Instruction
Form AD 3027 Program Discrimination Complaint FormForm
Form AD 3027 USDA Program Discrimination Complaint FormForm
Form AD 3027 Program Discrimination Complaint Form (Private Sector)Form
Change Request Memo Justification-Ver4A OCIO passback 11-29-24.docxJustification for No Material/Nonsubstantive Change
Change Request Memo Justification-Ver4A OCIO passback 11-29-24.docx Justification for No Material/Nonsubstantive Change
DR 4300-003.pdfSupplementary Document
DR 4300-003.pdf Supplementary Document
Program Complaint Form-FY24-Revision AD 3027 estimates.xlsxSupplementary Document
Supporting Statement 2024 Program Complaint Form 0508-0002-9-18-24 Clean-Copy.docxSupporting Statement A
Supporting Statement 2024 Program Complaint Form 0508-0002-9-18-24 Clean-Copy.docxSupporting Statement A
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (Individuals) Form and Instruction
Program Discrimination Complaint Form (State, Local and Tribal Government) Form and Instruction
Program Discrimination Complaint Form (State, Local and Tribal Government) Form and Instruction
Program Discrimination Complaint Form (State, Local and Tribal Government) Form
Program Discrimination Complaint Form (State, Local and Tribal Government) Form
Program Discrimination Complaint Form (State, Local and Tribal Government) Form
Program Discrimination Complaint Form (Private Sector) Form and Instruction
Program Discrimination Complaint Form (Private Sector) Form and Instruction
Program Discrimination Complaint Form (Private Sector) Form
Program Discrimination Complaint Form (Private Sector) Form
Program Discrimination Complaint Form (Private Sector) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202411-0508-001 No material or nonsubstantive change to a currently approved collection 2024-12-05 Approved without change
202408-0508-001 Reinstatement without change of a previously approved collection 2024-08-29
202212-0508-001 No material or nonsubstantive change to a currently approved collection 2022-12-07 Approved without change
202210-0508-001 No material or nonsubstantive change to a currently approved collection 2022-10-04 Approved without change
202102-0508-001 Revision of a currently approved collection 2021-02-25 Approved without change
201712-0508-001 Revision of a currently approved collection 2017-12-27 Approved without change
201409-0508-001 Extension without change of a currently approved collection 2014-09-23 Approved without change
201106-0508-001 Reinstatement with change of a previously approved collection 2011-07-06 Approved with change
199802-0508-002 New collection (Request for a new OMB Control Number) 1998-02-12 Approved without change

OMB Details

Program Discrimination Complaint Form (Individuals)

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

Information collection instruments
FormNameElectronic accessType
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.