Uniform Report of DBE Awards/Commitments and other DBE Program Collections

Forms and Documents

Document Name	Status
Form DOT Form 4630 Report of DBE Awards and Commitments Form	Modified
Supporting Statement for NPRM II final clean.docx Supporting Statement A	2012-11-13
Electronic Code of Federal Regulations.mht Supplementary Document	2010-11-16
Correction Notice.pdf Supplementary Document	2010-11-16
30day FRN.pdf Supplementary Document	2010-11-16
60day FRN.pdf Supplementary Document	2010-11-16

IC Document Collections

IC ID	Document Title	Status
25080	Report of DBE Awards and Commitments Form	Modified

ICR Details

OMB Control No: 2105-0510	ICR Reference No: 201209-2105-004
Status: Historical Inactive	Previous ICR Reference No: 201011-2105-002
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Uniform Report of DBE Awards/Commitments and other DBE Program Collections
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 03/12/2013
	Date Received in OIRA: 11/13/2012
Terms of Clearance: OST should submit ICR package for review prior to publication of the final rule.

	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: This is to request the Office of Management and Budget (OMB) to provide Paperwork Reduction Act clearance on five information collections associated with the Department's Disadvantaged Business Enterprise (DBE) program, four of which were included in the Notice of Proposed Rulemaking (NPRM), entitled "Disadvantaged Business Enterprise: Program Implementation Modifications," published on September 6, 2012. See 77 FR 54952. This collection concerns reports of DBE participation from DOT recipients to Federal Highway Administration (FHWA), Federal Transit Administration (FTA), and Federal Aviation Administration (FAA).

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Authorizing Statute(s): US Code: 49 USC 47113 Name of Law: null
  

Citations for New Statutory Requirements: US Code: 49 USC 47113 Name of Law: null

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2105-AE08	Proposed rulemaking	77 FR 65164	10/25/2012

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Report of DBE Awards and Commitments	Appendix F, Appendix G, Appendix B, DOT Form 4630	Uniform Report of DBE Awards/Commitments and Payments ,   Personal Net Worth Statement ,   UNIFORM CERTIFICATION APPLICATION ,   UNIFORM REPORT OF DBE COMMITMENTS

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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: The increased burden for this collection results from four information collections that the Department is requesting OMB approval for the first time. The Department notes that it does not anticipate any changes in the burden associated with the one collection currently covered by this control number, the "Uniform Report of DBE Awards/Commitments and Payments." On the one hand, the collections "Uniform Certification Application Form" and "Annual Affidavit of No Change" have long been integral parts of the regulatory make-up of the DBE program. The adoption and modification of these collections has also been done through numerous notice and comment rulemakings, but the Department has not until now placed these collections under the DBE Control Number. In the NPRM, the Department is also proposing revisions to both of these rulemakings, which, if adopted, would likely increase their burden beyond what the Department estimates is necessary for the current forms. The second type of collections is the two new collections, the "Personal Net Worth Form" and the "Percentages of DBEs in Various Categories" collection. The "Personal Net Worth Form" is being proposed to replace the Department's current practice of requesting that DBEs complete an existing SBA form at the time they apply for certification, so it does not add new requirements per se, so much as it transfers that burden from being caused by the SBA form to being caused by this proposed form. The Department is also proposing to require that firms submit this form with their annual affidavit of no change, which would lead to an increased burden over current practice. The "Percentages of DBEs in Various Categories" collection institutes for the first time a long-standing statutory requirement.

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Annual Cost to Federal Government: $1,257

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: 11/13/2012

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