ARRA Bonding Assistance Program Reimbursable Fee Program

ICR 201002-2105-002

OMB: 2105-0562

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2010-02-24
Supplementary Document
2010-02-24
Supplementary Document
2010-02-24
IC Document Collections
ICR Details
2105-0562 201002-2105-002
Historical Active 200908-2105-002
DOT/OST
ARRA Bonding Assistance Program Reimbursable Fee Program
Revision of a currently approved collection   No
Regular
Approved without change 04/26/2010
Retrieve Notice of Action (NOA) 02/26/2010
  Inventory as of this Action Requested Previously Approved
04/30/2013 36 Months From Approved 04/30/2010
1,770 0 1,770
3,540 0 3,540
0 0 0

The information collected will be from the Disadvantaged Business Enterprise (DBE) working on transportation or infrastructure ARRA funded project. The information collected will be used by DOT OSDBU to verify eligibility, process the application, and disburse the reimbursement. The information being collected relates the name of the company; full street address; the Dun and Bradstreet Number (DUNS); Central Contractor Registration along with Bank information to process their payment; DOT transportation related contract information; supporting documentation that shows the federal project number, bond information along with a copy of their bond; and proof of payment of the fee. The applicant’s eligibility is determined by submitting a copy of a DBE certification and/or annual affidavit, if applicable, for bonding fee reimbursement for specific bonds. This will be verified by OSDBU staff as part of the application process. Instructions are attached along with a copy of sample letter to show how to obtain the federal project number. This information is necessary to be able to reimburse the DBE the financial assistance for the bond fees.

PL: Pub.L. 111 - 5 Division A, Title XII Name of Law: Federal Highway Administration, Highway Infrastructure Investment
   US Code: 40 USC Title 40 Subtitle II, Part A Name of Law: Bonds of Contractors of Public Buildings or Works
  
US Code: 49 USC 49 CFR 26, Title 49 Name of Law: Participation By Disadvantaged Business Enterprises in Department of Transportation Financial Asst.

Not associated with rulemaking

  74 FR 60012 11/19/2009
75 FR 3273 01/20/2010
No

1
IC Title Form No. Form Name
ARRA Bonding Assistance Program Reimbursable Fee Program DOT F 4504 ARRA Application For Reimbursement of Bond Fees

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,770 1,770 0 0 0 0
Annual Time Burden (Hours) 3,540 3,540 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$127,000
No
No
Uncollected
Uncollected
Yes
Uncollected
Nancy Strine 2023665343 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/26/2010


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