View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0575-0201
ICR Reference No:
202111-0575-001
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
USDA/RHS
Agency Tracking No:
Title:
1901-E Civil Rights Common Forms
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/08/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/01/2022
Terms of Clearance:
In accordance with 5 CFR 1320, the information collection is approved for three years.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2025
36 Months From Approved
Responses
3
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
7 CFR Part 1901-E implements the following Civil Rights laws, Executive Orders, and regulations, to collect the necessary information and enforce the civil rights requirements of RD’s Federally assisted programs and programs that provide housing. Title VI and Title VIII have overlapping coverage providing protection on the bases of race, color and national origin.
Authorizing Statute(s):
US Code:
42 USC 2000e-5
Name of Law: THE PUBLIC HEALTH AND WELFARE
US Code:
42 USC 2000d
Name of Law: Prohibition against exclusion from participation in, denial of benefits of, and discrimination unde
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 61116
11/05/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 9564
02/22/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Assurance Agreement
Form RD 400-4
Assurance Agreement
Compliance Statement
Form RD - 400-6
Compliance Statement
Equal Opportunity Agreement
Form RD 400-1
Equal Opportunity Agreement
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
3
0
0
3
0
0
Annual Time Burden (Hours)
0
0
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Lynn Gilbert 202 690-2682 lynn.gilbert@usda.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
The Agencies are required to provide Federal financial assistance through its housing and community and business programs on an equal opportunity basis. The laws implemented in 7 CFR part 1901, subpart E, require the recipients of RD Federal financial assistance to collect various types of information, including information on participants in certain of these agencies’ programs, by race, color, and national origin.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
USDA/RBS
202212-0570-008CF
RD 400-1, "Equal Opportunity Agreement"
Historical Active
Equal Opportunity Agreement
USDA/RBS
202212-0570-009CF
RD 400-4, “Assurance Agreement”
Historical Active
Assurance Agreement
USDA/RHS
202209-0575-002CF
Form RD 400-1 Equal Opportunity Agreement
Historical Active
Equal Opportunity Agreement
USDA/RUS
202209-0572-008CF
RD 400-1, “Equal Opportunity Agreement” and RD 400-4, “Assurance Agreement.”
Historical Active
Assurance Agreement, Equal Opportunity Agreement
USDA/RBS
202208-0570-010CF
400-4 Assurance Agreement
Historical Active
Assurance Agreement
USDA/RBS
202208-0570-009CF
400-1 Equal Opportunity Agreement
Historical Active
Equal Opportunity Agreement
USDA/RHS
202207-0575-003CF
RD 400-1 Equal Opportunity and Assurance Agreement
Historical Active
Equal Opportunity Agreement
USDA/RHS
202207-0575-004CF
RD 400-4 Assurance Agreement
Historical Active
Assurance Agreement
USDA/RBS
202207-0570-010CF
Form RD 400-4, "Assurance Agreement"
Historical Active
Assurance Agreement
USDA/RBS
202207-0570-009CF
Form RD 400-1, "Equal Opportunity Agreement"
Historical Active
Equal Opportunity Agreement
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
03/01/2022
An official website of the United States government
The .gov means it's official.
The site is secure.
