Organization details and Section I
Organization ID number, name and address, the Submitted by block, then a description of the organization's nature, purpose, programs and activities, and its organizational type.
GSA3702
Nondiscrimination in Federal Financial Assistance Compliance Questionnaire for Recipients
GSA Form 3702, Nondiscrimination in Federal Financial Assistance Compliance Questionnaire for Recipients, is an eight-page General Services Administration form, Rev. 3/2017, with OMB Control Number: 3090-0310 and Expiration Date: 12/31/2027. GSA hosts it in its forms library.
The form says it is used in conjunction with the Federal Surplus Personal Property Donations Program, a Federal financial assistance program administered by GSA. It names Title VI of the Civil Rights Act of 1964, the Age Discrimination Act of 1975, Section 504 of the Rehabilitation Act of 1973, Title IX of the Education Amendments Act of 1972 and the Federal Property Management Act of 1949. The form says the responses will be used by GSA's Office of Civil Rights (OCR) to help determine if the recipient organization is in compliance with these laws and regulations.
Seven sections cover the organization's background, civil rights data, marketing, complaints, participation in the surplus property program, unavailable data and the time spent. You can fill it out free in your browser on this page and download the result without an account.

Organization ID number, name and address, the Submitted by block, then a description of the organization's nature, purpose, programs and activities, and its organizational type.
Race, ethnicity and sex of any advisory board or committee, whether the service area includes people with Limited English Proficiency (LEP), languages encountered, interpretation services, how LEP assistance is announced and its costs.
A Yes or No chart on 12 public access areas such as restrooms, entrances and parking, help for people who are hearing or visually impaired, and training or education programs with any sex-based grievance procedure.
Whether the organization markets its programs and how eligible people learn of them, then any discrimination complaints, lawsuits or charges, with date, basis, issues and status for the last two calendar years.
How the organization learned about the program, how it finds out about available property, any problems obtaining property, and a rating of the property's quality.
Any requested data the organization cannot provide, its plan with dates and actions to begin collecting it, and the hours and minutes spent completing the questionnaire.
After the organization and submitter details, the questionnaire runs in seven sections.
Enter the organization ID number, name and address, and the Submitted by details with the preparation date.
The note in Section II says to report race first, then ethnicity (Hispanic or Non-Hispanic), for all race or ethnicity questions.
The form says the chart refers to public access areas only and not to work-only areas. For each area, mark whether you have it and whether it complies with applicable disability standards.
If any complaints were filed, list each one received or filed for the last two calendar years. The form says to add an attachment page if more space is needed.
Section VI asks which data is unavailable and for a plan with dates and actions. The form says the Office of Civil Rights is available to help develop such a plan.
Section VII asks for the estimated hours and minutes the organization spent completing the submission.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says GSA's Office of Civil Rights uses the responses to help determine compliance and retains the information for four (4) years from the time of receipt. It prints no submission address for the questionnaire itself.
The Paperwork Reduction Act statement estimates 120 minutes to read the instructions, gather the facts and answer the questions, with OMB control number 3090-0310.
The form says to send only comments about the time estimate or other aspects of the collection to U.S. General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405.
The form says GSA's implementing and enforcement regulations are at 41 CFR 101-4 et. seq; 41 CFR 101-6.2 et. seq; 41 CFR 101-8.3 et. seq; and 41 CFR 101-8.7 et. seq.
Section IV says individuals have the right to file an administrative complaint with GSA or a lawsuit in Federal court, and that GSA only has jurisdiction over recipients of Federal surplus property.
GSA3702R
167 fields, 8 pages
GSA3040
39 fields, 2 pages
SF123
145 fields, 3 pages
SF123A
379 fields, 1 page
Organizations receiving property through the Federal Surplus Personal Property Donations Program. The form says each recipient signed a nondiscrimination assurance statement agreeing to conduct its programs and activities in compliance with Federal nondiscrimination laws.
Item I.B lists state and county or city government agencies, non-profit organizations, healthcare and educational providers, providers to the homeless or impoverished, and minority, women, older individual and disability-focused programs, plus Other.
The Submitted by block asks for the name, title, email, telephone, fax and preparation date of the person sending the questionnaire.
The form says OCR uses the responses to help determine compliance, that OCR personnel will have access to the information, and that OCR will retain it for four (4) years from the time of receipt.
The statement on the first page describes who answers the questionnaire and who reviews it.
The agency’s own page for Form GSA3702.
The official blank form, to print or fill by hand.
No tool matches that search.
It is a General Services Administration form, Rev. 3/2017, with OMB Control Number: 3090-0310. GSA hosts it in its forms library.
The form says it is used in conjunction with the Federal Surplus Personal Property Donations Program. GSA Form 3702R is the version for the Federal Real Property Public Benefit Conveyance program.
The form says GSA's Office of Civil Rights uses the responses to help determine compliance, that OCR personnel will have access to the information, and that OCR keeps it for four (4) years from the time of receipt.
The Paperwork Reduction Act statement estimates 120 minutes to read the instructions, gather the facts and answer the questions.
Telephone, restrooms, water fountains, hallways, entrance and exits, lounges, cafeteria, elevators, conference rooms, work and study areas, classrooms and parking. The form says to count public access areas only, not work-only areas.
Section VI asks the organization to identify the data it cannot provide and to describe its plan, with dates and actions, to begin collecting it. The form says the Office of Civil Rights is available to help develop such a plan.