Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements

Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements (Final Rule)

OMB: 2090-0030

IC ID: 181388

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2090-0030 can be found here:

Documents and Forms

Document Name Document Type
Form 6100-1a Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements Form and Instruction
6100-1a EPA DBE Certification Application (Sole Proprietorship) Cert form - Sole Proprietorship.pdf Form and Instruction
6100-1b EPA DBE Certification Application (Limited Liability Com Cert form - Limited Liability Company (LLCs).pdf Form and Instruction
6100-1c EPA DBE Certification Application (Partnerships) Cert Form - Partnerships.pdf Form and Instruction
6100-1d EPA DBE Certification Application (Corporations) Cert form - Corporations .pdf Form and Instruction
6100-1e EPA DBE Certification Application (Alaska Native Corpora Cert form - Alaska Native Corporation -.pdf Form and Instruction
6100-1f EPA DBE Certification Application (Tribally Owned Busine Cert form - Tribes -.pdf Form and Instruction
6100-1g EPA DBE Certification Application (Private and Voluntary EPA Application -- Private and Voluntary Organizations.pdf Form and Instruction
6100-1h EPA DBE Certification Application (Concerns Owned by Nat Cert Form - Native Hawaiian Organization.pdf Form and Instruction
6100-1i EPA DBE Certification Application (Concerns Owned by Com Cert Form - Community Development Corporations (CDCs).pdf Form and Instruction
6100-2 DBE Program Subcontractor Participation Form Subcontractor Participation Form -.pdf Form and Instruction
6100-3 DBE Program Subcontractor Performance Form Subcontractor Performance Form -.pdf Form and Instruction
6100-4 DBE Program Subcontractor Utilization Form Subcontractor Utilization Form -.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	6100-1a	EPA DBE Certification Application (Sole Proprietorship)	Cert form - Sole Proprietorship.pdf	Yes	No	Printable Only
Form and Instruction	6100-1b	EPA DBE Certification Application (Limited Liability Company)	Cert form - Limited Liability Company (LLCs).pdf	Yes	No	Printable Only
Form and Instruction	6100-1c	EPA DBE Certification Application (Partnerships)	Cert Form - Partnerships.pdf	Yes	No	Printable Only
Form and Instruction	6100-1d	EPA DBE Certification Application (Corporations)	Cert form - Corporations .pdf	Yes	No	Printable Only
Form and Instruction	6100-1e	EPA DBE Certification Application (Alaska Native Corporations)	Cert form - Alaska Native Corporation -.pdf	Yes	No	Printable Only
Form and Instruction	6100-1f	EPA DBE Certification Application (Tribally Owned Businesses)	Cert form - Tribes -.pdf	Yes	No	Printable Only
Form and Instruction	6100-1g	EPA DBE Certification Application (Private and Voluntary Organizations)	EPA Application -- Private and Voluntary Organizations.pdf	Yes	No	Printable Only
Form and Instruction	6100-1h	EPA DBE Certification Application (Concerns Owned by Native Hawaiian Organizations)	Cert Form - Native Hawaiian Organization.pdf	Yes	No	Printable Only
Form and Instruction	6100-1i	EPA DBE Certification Application (Concerns Owned by Community Development Corporations)	Cert Form - Community Development Corporations (CDCs).pdf	Yes	No	Printable Only
Form and Instruction	6100-2	DBE Program Subcontractor Participation Form	Subcontractor Participation Form -.pdf	Yes	No	Printable Only
Form and Instruction	6100-3	DBE Program Subcontractor Performance Form	Subcontractor Performance Form -.pdf	Yes	No	Printable Only
Form and Instruction	6100-4	DBE Program Subcontractor Utilization Form	Subcontractor Utilization Form -.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,282	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,282	3,282
Annual IC Time Burden (Hours)	331,250	331,250
Annual IC Cost Burden (Dollars)	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.