How to Fill Out USDA Form RD 400-6

USDA Form RD 400-6 at a glance

What it is: USDA Form RD 400-6 is the COMPLIANCE STATEMENT.

Who signs: Sign on the line for the Signature of Bidder or Prospective Contractor.

This statement relates to a contract with a borrower or grantee who expects to finance the contract with assistance from either the Rural Housing Service (RHS), Rural Business-Cooperative Service (RBS), or the Rural Utilities Service (RUS) or their successor agencies, United States Department of Agriculture (whether by a loan, grant, loan insurance, guarantee, or other form of financial assistance). You are the undersigned bidder or prospective contractor.

A filled-in USDA Form RD 400-6 example: a contractor with no earlier federal contracts

USDA Form RD 400-6 example filled out, example: a contractor with no earlier federal contracts
Pat Sample, owner of Sample Builders LLC, completes the compliance statement. Pat has not participated in a previous contract or subcontract, so 2 and 4 stay empty. The picture is page 1, and all its values are invented. Pat ticks the first box of the proposed contract group, so the nonconstruction box stays empty. Pat has not previously had contracts subject to affirmative action programs, so 3 is have not. The picture shows page 1 only. Signature of Bidder or Prospective Contractor, Date, Address and certification are not in it.

How to fill out USDA Form RD 400-6, box by box

This statement relates to a proposed contract with

USDA Form RD 400-6 example filled out, this statement relates to a proposed contract with

Enter the Name of borrower or grantee after "This statement relates to a proposed contract with".

Previous contract or subcontract and compliance reports

USDA Form RD 400-6 example filled out, previous contract or subcontract and compliance reports

Mark have or have not for 1: participated in a previous contract or subcontract subject to Executive Order 11246 (regarding equal employment opportunity) or a preceding similar Executive Order.

For 2: if you have participated in such a contract or subcontract, mark have or have not for filed all compliance reports that have been required to file in connection with the contract or subcontract.

If you have failed to file any compliance reports that have been required of you, you are not eligible and will not be eligible to have your bid considered or to enter into the proposed contract unless and until you make an arrangement regarding such reports that is satisfactory to either the RHS, RBS or RUS, or to the office where the reports are required to be filed.

Proposed contract and affirmative action programs

USDA Form RD 400-6 example filled out, proposed contract and affirmative action programs

If the proposed contract is for $50,000 or more, or if the proposed nonconstruction contract is for $50,000 or more and you have 50 or more employees, you also represent that (checked October 20, 2026).

For 3: mark have or have not previously had contracts subject to the written affirmative action programs requirements of the Secretary of Labor.

For 4: if you have participated in such a contract or subcontract, mark have or have not developed and placed on file at each establishment affirmative action programs as required by the rules and regulations of the Secretary of Labor.

Signature of Bidder or Prospective Contractor, Date, Address and certification

USDA Form RD 400-6 example filled out, signature of Bidder or Prospective Contractor, Date, Address and certification

Sign on the line for the Signature of Bidder or Prospective Contractor, and enter the Date and the Address (including Zip Code).

The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

You also certify that you do not maintain or provide for your employees any segregated facilities at any of your establishments, and that you do not permit your employees to perform their services at any location, under your control, where segregated facilities are maintained. You certify further that you will not maintain or provide for your employees any segregated facilities at any of your establishments, and that you will not permit your employees to perform their services at any location, under your control, where segregated facilities are maintained. You agree that a breach of this certification is a violation of the Equal Opportunity clause in your contract. You further agree that (except where you have obtained identical certifications for proposed subcontractors for specific time periods) you will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause; that you will retain such certifications in your files; and that you will forward the following notice to such proposed subcontractors (except where the proposed subcontractors have submitted identical certifications for specific time periods) (checked October 20, 2026).

A certification of Nonsegregated Facilities, as required by the May 9, 1967, order (32F.R. 7439, May 19, 1967) on Elimination of Segregated Facilities, by the Secretary of Labor, must be submitted prior to the award of a subcontract exceeding $ 10,000 which is not exempt from the provisions of the Equal Opportunity clause (checked October 20, 2026).

The certification may be submitted either for each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually, or annually).

Sources

[1] USDA Form RD 400-6, Compliance Statement (Rev. 08-22), U.S. Department of Agriculture (the Official source link on this page).

USDA Form RD 400-6 PDF Details

Whether you participated in a previous contract or subcontract subject to Executive Order 11246 (regarding equal employment opportunity) or a preceding similar Executive Order.

Compliance reports: If you participated in such a contract or subcontract, whether you filed all compliance reports required.

Segregated facilities: You certify that you do not and will not maintain or provide for your employees any segregated facilities at any of your establishments.

Breach: A breach of this certification is a violation of the Equal Opportunity clause in your contract.

False statements: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

QuestionAnswer
Form NameUSDA Form RD 400-6
Form Length2 pages
Fillable?Yes
Fillable fields23
Avg. time to fill out4 min
EditionRev. 08-22
Other namesRD 400-6, USDA RD 400-6, Form RD 400-6