Bethesda, Maryland 20892
Dear Applicant:
RESEARCH ADMINIS'TRATION
The Assurance of Compliance Form HHS 441 (Assurance of Compliance with Title VI of the Civil Rights Act of 1964), 641 (Assurance of Compliance with Section 504 of the Rehabilitation Act of 1973, as amended (29 USC 794), 639A (Assurance of Compliance with Section 901 of Title IX of the Education Amendments of 1972 (PL 92-318) as amended) and 680 (The Age Discrimination Act of 1975) are included in this form.
The Assurance of Compliance Form HHS 690 should be filed with the Department of Health and Human Services Office of Civil Rights at the following address:
Office of Civil Rights
Office of Programs Operations HHS North, Room 5626
330 Independence Avenue, S.W. Washington, D.C. 20201
The pertinent Department of Health and Human Services (HHS) implementing regulations are found in 45 CFR 80, 45 CFR 84, and 45 CFR 86. Questions concerning these regulations and the Assurance of Compliance form should be directed to the HHS Office of Civil Rights (202) 619-3337.
The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the Department of Health and Human Services,
THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY
Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services C.F.R. Part 80), to the end that, in accordance with Title of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.
Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified handicapped individual in the United states shall, solely by reason of his handicap, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.
Title IX of the Educational Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department.
The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program.or activity for which the Applicant receives Federal financial assistance from the Department.
The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferees, for the period during which the real property or structure which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the to seek judicial enforcement of this assurance.
The person or persons whose signature(s) appear(s) below is/are authorized to sign this assurance, and commit the Applicant to the above provisions.
Date
Signature and Title of Authorized Official
Name of Applicant or Recipient
Street
City, State, Zip Code
FORM HHS-690, 7/92