Mentor-Protégé Pilot Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OST F 5020.2 M/P PROGRAM EVALUATION Participant Report	Form and Instruction	New	Repair queued
Form OST F 5020.1 M/P ANNUAL Report	Form and Instruction	New	Repair queued
No Part B Required.docx	Supporting Statement B	Uploaded 2012-04-11	Repair queued
SMall Business Act .pdf	Supplementary Document	Uploaded 2012-03-23	Repair queued
Minority Resource Center 49 USC 332.pdf	Supplementary Document	Uploaded 2012-03-23	Repair queued
PRA - OST - OSDBU - Supporting Statement - Updatev2 - 041112.doc	Supporting Statement A	Uploaded 2012-04-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201898	M/P PROGRAM EVALUATION Participant Report	Form and Instruction	New
201897	M/P ANNUAL Report	Form and Instruction	New
201896	M/P AGREEMENT GUIDANCE	Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201203-2105-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Mentor-Protégé Pilot Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 08/02/2012
	Date Received in OIRA: 03/23/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Transportation (DOT) is implementing a Mentor-Protégé Pilot Program that encourages agreements between large and small business prime contractors and eligible small business protégés. Small business concerns include small disadvantaged businesses, 8(a) firms, women owned businesses, HUBZone small businesses, veteran-owned-businesses and service disabled veteran-owned small businesses. The program is also designed to improve the performance of DOT contractors and subcontractors, foster the establishment of long-term business relationships between small businesses and prime contractors, and increase the overall number of small businesses that receive DOT contract and subcontract awards.

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Authorizing Statute(s): US Code: 49 USC 332 Name of Law: Minority Resource Center (MRC)
   PL: Pub.L. 95 - 507 Section 8, 15 and 31 Name of Law: Small Business Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 68521	11/04/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 5615	02/03/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
M/P ANNUAL Report	OST F 5020.1	Mentor Protégé Program Participant Annual Report
M/P AGREEMENT GUIDANCE
M/P PROGRAM EVALUATION Participant Report	OST F 5020.2	Mentor Protégé PROGRAM EVALUATION Participant Report

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $14,236

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/23/2012

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