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United States Department of Transportation United States Department of Transportation

Form 5100-145 - FAA Title VI Pre-Grant Award Checklist

Document Information

Number
5100-145
Title
FAA Title VI Pre-Grant Award Checklist
Status
Active
Edition date
2024-02-07
Orientation
Landscape
Unit of issue
Sheet
Office of Primary Responsibility
APP-500, Office of Planning and Programming
Description

This certification checklist must be completed and submitted by the airport sponsor as a part of each FAA grant application. It allows the sponsor to certify it is currently in compliance with Title VI of the Civil Rights Act of 1964 or has a corrective action plan approved by the FAA Office of Civil Rights to come into compliance.

OMB No. 2120-0569 (exp. 12/31/2026)

Contact information
ACR-4-TitleVI@faa.gov
Content