OMB control number
Assurance and Certification of Compliance
OMB 0945-0008 ยท HHS/OCR.
OMB 0945-0008
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.
The latest form for Assurance and Certification of Compliance expires 2029-06-30 and is listed under ICR 202603-0945-001.
Latest Forms, Documents, and Supporting Material
Form HHS-690 Assurance of Compliance
2026-08092.pdf
Public Comment on HHS Notice re Assurance of Compliance Form HHS-690.msg
Assurance of ComplianceAll Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202603-0945-001 | Revision of a currently approved collection | 2026-04-24 | ||
| 202302-0945-001 | Reinstatement without change of a previously approved collection | 2023-03-01 | Approved without change | |
| 201906-0945-003 | New collection (Request for a new OMB Control Number) | 2019-06-25 | Approved with change | |
| 201801-0945-001 | New collection (Request for a new OMB Control Number) | 2018-02-02 | Comment filed on proposed rule |
OMB Details
88.4(a) (Review and sign assurance and certification)
Federal Enterprise Architecture: Health - Consumer Health and Safety