202410-0570-004CF RCF OMB: 0575-0201
OMB.report
OMB 0575-0201
RCF 202410-0570-004CF
( RCF New )
Array
(
[refNbr] => 202410-0570-004CF
[obm] => 0575-0201
[icr] => 202111-0575-001
[status] => Received in OIRA
[agency] => USDA/RBS
[title] => RD 400-6 Compliance Statement
[typeRCF] => RCF New
[oiraAction] => (function(){var g=function(e,h,f,g){ this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b=e/100?0:
[oiraNOA] => (function(
[termsOfClearance] =>
[previousRCF] =>
[agencyTrackingNo] => 0570-0067
[conclusionDate] => 1969-12-31
[dateReceived] => 1969-12-31
)
Document
View RCF
- Agency Submission
RCF ID: 202410-0570-004CFPrevious RCF ID:
Status:
Received in OIRA
Expiration Date: 07/31/2025
Agency/Subagency: USDA/RBSAgency Tracking No: 0570-0067
Host OMB Control No: 0575-0201Host ICR Reference No: 202111-0575-001
Title: RD 400-6 Compliance Statement
Description of Agency Usage:
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
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Katherine Mathis 202 713-7565 katherine.mathis@usda.gov
Common Form Information Collections (IC) in this RCF:
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
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
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The agency is requesting to use the form which will result in a program change of 390 burden hours.