Run FTA Title VI Program Triennial Submission Checklist — Free

Submission Scope and Program Identification

Agency name, service area, and triennial reporting period are correctly identified critical (required)

Submission is addressed to the correct FTA regional civil rights officer critical (required)

Yes No N/A

Part One checklist items are included and organized in the submission packet critical (required)

Yes No N/A

Previous Title VI program approval date and current submission due date are documented

Required supporting documents are current and legible critical (required)

Yes No N/A

Title VI Program Policy and Governance

Written Title VI policy statement is included and references nondiscrimination obligations critical (required)

Yes No N/A

Title VI program coordinator or responsible official is named with current contact information critical (required)

Board or governing body approval is documented for the current program submission critical (required)

Yes No N/A

Program includes a description of how Title VI responsibilities are assigned within the agency

Yes No N/A

Public notice of nondiscrimination is included in the program package critical (required)

Yes No N/A

Public Participation and Complaint Procedures

Title VI complaint procedure is included and identifies filing steps, timelines, and contact points critical (required)

Yes No N/A

Complaint form is available in a usable format and attached to the submission

Yes No N/A

Public participation plan or outreach summary is included for the current cycle critical (required)

Yes No N/A

Evidence of outreach to minority and LEP populations is documented critical (required)

Yes No N/A

Public meeting notices, sign-in sheets, or meeting summaries are attached where applicable

Yes No N/A

Language Access and LEP Program Elements

LEP analysis or four-factor assessment is included and current critical (required)

Yes No N/A

Language assistance measures are described for vital documents and customer-facing services critical (required)

Yes No N/A

Translated vital documents or translation plan is included where required

Yes No N/A

Staff training or guidance on LEP assistance is documented

Yes No N/A

Service Monitoring, Equity Analysis, and Data

Service standards and service policies are included where applicable critical (required)

Yes No N/A

Service monitoring results are documented for routes, schedules, or service changes as required critical (required)

Yes No N/A

Demographic or census data used in the analysis is identified and dated

Any disparate impact or disproportionate burden analysis required by the program is included critical (required)

Yes No N/A

Maps, charts, tables, or other supporting exhibits are attached and readable

Yes No N/A

Records, Submission Quality, and Final Sign-Off

All attachments are complete, labeled, and match the checklist references critical (required)

Yes No N/A

Known deficiencies or non-conformances are documented with corrective actions and due dates

Yes No N/A

Record retention location or document control reference is identified

Inspector confirms the package is ready for submission critical (required)

Yes No N/A

Inspector signature critical (required)

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Run: FTA Title VI Program Triennial Submission Checklist

Submission Scope and Program Identification

Title VI Program Policy and Governance

Public Participation and Complaint Procedures

Language Access and LEP Program Elements

Service Monitoring, Equity Analysis, and Data

Records, Submission Quality, and Final Sign-Off

Get your results