View RCF  - OIRA Conclusion

202410-0570-004CF
Historical Inactive 07/31/2025
USDA/RBS 0570-0067
0575-0201 202111-0575-001
RD 400-6 Compliance Statement
RCF New
This form, submitted by the grantee, is used to reveal whether the bidder or prospective Contractor is in default with respect to Compliance reports required under any previously covered contract or subject to the “Affirmative Action Program” and to provide for certification regarding the maintenance or use of non- segregated facilities. OMB No. 0570-0067 RD 400-6 Compliance Statement OMB No. 0575-0201
None
 
Katherine Mathis 202 713-7565 katherine.mathis@usda.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Compliance Statement 2,341 390 0 Form Form RD - 400-6 Compliance Statement

  Total Request 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 2,341 0 0 2,341 0 0
Annual Time Burden (Hours) 390 0 0 390 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Yes
Miscellaneous Actions
No
The agency is requesting to use the form which will result in a program change of 390 burden hours.