Information Collection

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

IC 181388 under ICR 201211-2090-001 · OMB 2090-0030.

⚠️ Notice: This information collection may be referencing outdated material.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

2015-07-17 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-1b Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements	Form and Instruction
6100-1b EPA DBE Certification Application (Limited Liability Com Cert form - Limited Liability Company (LLCs).pdf	Form and Instruction
6100-1a EPA DBE Certification Application (Sole Proprietorship) Cert form - Sole Proprietorship.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
6100-4 DBE Subcontractor Utilization Form 2047.04 Form 6100-4.pdf	Form and Instruction
6100-2 DBE Subcontractor Participation Form 2047.04 Form 6100-2.pdf	Form and Instruction
6100-3 DBE Subcontractor Performance Form 2047.04 Form 6100-3.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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
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	6100-1a	EPA DBE Certification Application (Sole Proprietorship)	Cert form - Sole Proprietorship.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	6100-4	DBE Subcontractor Utilization Form	2047.04 Form 6100-4.pdf	Yes	No	Printable Only
Form and Instruction	6100-3	DBE Subcontractor Performance Form	2047.04 Form 6100-3.pdf	Yes	No	Printable Only
Form and Instruction	6100-2	DBE Subcontractor Participation Form	2047.04 Form 6100-2.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: 1,865

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,865	1,865
Annual IC Time Burden (Hours)	11,614	11,614
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.