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OMB Approved No. 1505-0271 

Expiration Date: April 30, 2025

ASSURANCES OF COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS 

ASSURANCES OF COMPLIANCE WITH TITLE VI OF THE 

CIVIL RIGHTS ACT OF 1964 

As a condition of receipt of federal financial assistance from the Department of the Treasury, the 

recipient named below (hereinafter referred to as the “Recipient”) provides the assurances stated herein. The

federal financial assistance may include federal grants, loans and contracts to provide assistance to the 

Recipient’s beneficiaries, the use or rent of Federal land or property at below market value, Federal training, a 

loan of Federal personnel, subsidies, and other arrangements with the intention of providing assistance. Federal 

financial assistance does not encompass contracts of guarantee or insurance, regulated programs, licenses, 

procurement contracts by the Federal government at market value, or programs that provide direct benefits. 

The assurances apply to all federal financial assistance from or funds made available through the 

Department of the Treasury, including any assistance that the Recipient may request in the future. 

The Civil Rights Restoration Act of 1987 provides that the provisions of the assurances apply to all of 

the operations of the Recipient’s program(s) and activity(ies), so long as any portion of the Recipient’s 

program(s) or activity(ies) is federally assisted in the manner prescribed above. 

1. Recipient ensures its current and future compliance with Title VI of the Civil Rights Act of 1964, as

amended, which prohibits exclusion from participation, denial of the benefits of, or subjection to

discrimination under programs and activities receiving federal financial assistance, of any person in the

United States on the ground of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by

the Department of the Treasury Title VI regulations at 31 CFR Part 22 and other pertinent executive orders

such as Executive Order 13166, directives, circulars, policies, memoranda, and/or guidance documents.

2. Recipient acknowledges that Executive Order 13166, “Improving Access to Services for Persons with

Limited English Proficiency,” seeks to improve access to federally assisted programs and activities for

individuals who, because of national origin, have Limited English proficiency (LEP). Recipient

understands that denying a person access to its programs, services, and activities because of LEP is a form

of national origin discrimination prohibited under Title VI of the Civil Rights Act of 1964 and the

Department of the Treasury’s implementing regulations. Accordingly, Recipient shall initiate reasonable

steps, or comply with the Department of the Treasury’s directives, to ensure that LEP persons have

meaningful access to its programs, services, and activities. Recipient understands and agrees that

meaningful access may entail providing language assistance services, including oral interpretation and

written translation where necessary, to ensure effective communication in the Recipient’s programs,

services, and activities.

3. Recipient agrees to consider the need for language services for LEP persons when Recipient develops

applicable budgets and conducts programs, services, and activities. As a resource, the Department of the

Treasury has published its LEP guidance at 70 FR 6067. For more information on taking reasonable steps

to provide meaningful access for LEP persons, please visit http://www.lep.gov.
OMB Approved No. 1505-0271 

Expiration Date: April 30, 2025

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4. Recipient acknowledges and agrees that compliance with the assurances constitutes a condition of continued

receipt of federal financial assistance and is binding upon Recipient and Recipient’s successors, transferees,

and assignees for the period in which such assistance is provided.

5. Recipient acknowledges and agrees that it must require any sub-grantees, contractors, subcontractors,

successors, transferees, and assignees to comply with assurances 1-4 above, and agrees to incorporate the

following language in every contract or agreement subject to Title VI and its regulations between the

Recipient and the Recipient’s sub-grantees, contractors, subcontractors, successors, transferees, and

assignees:

The sub-grantee, contractor, subcontractor, successor, transferee, and assignee shall comply with Title 

VI of the Civil Rights Act of 1964, which prohibits recipients of federal financial assistance from 

excluding from a program or activity, denying benefits of, or otherwise discriminating against a person 

on the basis of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by the 

Department of the Treasury’s Title VI regulations, 31 CFR Part 22, which are herein incorporated by 

reference and made a part of this contract (or agreement). Title VI also includes protection to persons 

with “Limited English Proficiency” in any program or activity receiving federal financial assistance, 42 

U.S.C. § 2000d et seq., as implemented by the Department of the Treasury’s Title VI regulations, 31 

CFR Part 22, and herein incorporated by reference and made a part of this contract or agreement.

6. Recipient understands and agrees that if any real property or structure is provided or improved with the aid

of federal financial assistance by the Department of the Treasury, this assurance obligates the Recipient, or

in the case of a subsequent transfer, the transferee, for the period during which the real property or structure

is used for a purpose for which the federal financial assistance is extended or for another purpose involving

the provision of similar services or benefits. If any personal property is provided, this assurance obligates

the Recipient for the period during which it retains ownership or possession of the property.

7. Recipient shall cooperate in any enforcement or compliance review activities by the Department of the

Treasury of the aforementioned obligations. Enforcement may include investigation, arbitration, mediation,

litigation, and monitoring of any settlement agreements that may result from these actions. The Recipient

shall comply with information requests, on-site compliance reviews and reporting requirements.

8. Recipient shall maintain a complaint log and inform the Department of the Treasury of any complaints of

discrimination on the grounds of race, color, or national origin, and limited English proficiency covered by

Title VI of the Civil Rights Act of 1964 and implementing regulations and provide, upon request, a list of all

such reviews or proceedings based on the complaint, pending or completed, including outcome. Recipient

also must inform the Department of the Treasury if Recipient has received no complaints under Title VI.

9. Recipient must provide documentation of an administrative agency’s or court’s findings of non-compliance

of Title VI and efforts to address the non-compliance, including any voluntary compliance or other
OMB Approved No. 1505-0271 

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agreements between the Recipient and the administrative agency that made the finding. If the Recipient 

settles a case or matter alleging such discrimination, the Recipient must provide documentation of the 

settlement. If Recipient has not been the subject of any court or administrative agency finding of 

discrimination, please so state.

10. If the Recipient makes sub-awards to other agencies or other entities, the Recipient is responsible for

ensuring that sub-recipients also comply with Title VI and other applicable authorities covered in this

document State agencies that make sub-awards must have in place standard grant assurances and review

procedures to demonstrate that that they are effectively monitoring the civil rights compliance of subrecipients.

The United States of America has the right to seek judicial enforcement of the terms of this assurances 

document and nothing in this document alters or limits the federal enforcement measures that the United States 

may take in order to address violations of this document or applicable federal law. 

Under penalty of perjury, the undersigned official(s) certifies that official(s) has read and understood the 

Recipient’s obligations as herein described, that any information submitted in conjunction with this assurances

document is accurate and complete, and that the Recipient is in compliance with the aforementioned 

nondiscrimination requirements. 

_________________________________

Recipient Date

_________________________________

Signature of Authorized Official

PAPERWORK REDUCTION ACT NOTICE

The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with 

this collection of information is 30 minutes per response. Comments concerning the accuracy of this burden estimate and suggestions 

for reducing this burden should be directed to the Office of Privacy, Transparency and Records, Department of the Treasury, 1500 

Pennsylvania Ave., N.W., Washington, D.C. 20220. DO NOT send the form to this address. An agency may not conduct or sponsor, 

and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB.