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

Participation by Disadvantaged Business Enterprises in Procurement under EPA Financial Assistance Agreements (Reinstatement)

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⚠️ Notice: This information collection may be referencing outdated material.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:

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

Documents and Forms

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:

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 %

	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

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.