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Form hhs 690

Hhs 690 2026

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4.9 out of 5

40 votes

The document outlines the Assurance of Compliance required by applicants seeking federal financial assistance from the U.S. Department of Health and Human Services. It emphasizes adherence to various civil rights laws, including Title VI of the Civil Rights Act, Section 504 of the Rehabilitation Act, Title IX of the Education Amendments, and others, ensuring non-discrimination based on race, color, national origin, sex, age, or disability. The assurance is a condition for receiving federal funds and must be signed by an authorized official.

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Click ‘Get Form’ to open the hhs 690 in the editor.
Begin by filling in the 'Name of Agency Receiving/Requesting Funding' section. Ensure that you provide the full legal name of your organization.
Next, complete the 'Street Address', 'City, State, Zip Code' fields accurately to ensure proper correspondence.
In the 'Signature of Authorized Official' field, have an authorized person sign and date the form. This signature confirms compliance with federal regulations.
Review all entries for accuracy before submitting. Use our platform's editing tools to make any necessary adjustments easily.
Once completed, you can either print and mail the form or submit it online via the HHS Assurance of Compliance portal for convenience.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (40 Votes)
2011	4.4 Satisfied (570 Votes)

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