OMB control number
Assurance and Certification of Compliance
OMB 0945-0008 · HHS/OCR.
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 can be found here.
Document Name |
|---|
Form |
Supplementary Document |
Supporting Statement A |
Public Comments |
Public Comments |
 OMB Control Number 0945-0008 Assurance of Compliance Form HHS-690 - Public Comment from Hadassah.msgPublic Comments |
Public Comments |
Public Comments |
Public Comments |
Public Comments |
Supplementary Document |
Form HHS-690 Assurance of Compliance
2026-08092.pdf
Assurance of Compliance | Revision of a currently approved collection | 2026-04-24 | ||
|
Approved without change |
Reinstatement without change of a previously approved collection | 2023-03-01 | |
|
Approved with change |
New collection (Request for a new OMB Control Number) | 2019-06-25 | |
|
Comment filed on proposed rule |
New collection (Request for a new OMB Control Number) | 2018-02-02 |
88.4(a) (Review and sign assurance and certification)
Federal Enterprise Architecture: Health - Consumer Health and Safety