Information Collection

Report of DBE Awards and Commitments

IC 25080 under ICR 200701-2105-002 · OMB 2105-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0510 can be found here:

Documents and Forms

Document Name Document Type
Form 4630 Report of DBE Awards and Commitments Form
4630 Report of DBE Awards and Commitments DBE Awards Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of DBE Awards and Commitments	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR Part 26 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4630	Report of DBE Awards and Commitments	DBE Awards Form.pdf		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,057	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,241	-557	1,798
Annual IC Time Burden (Hours)	1,311,000	-145,683	1,456,683
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.