OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 181388 under ICR 201504-2090-001 · OMB 2090-0030.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 6100-3
Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements		 Form and Instruction
6100-3 DBE Subcontractor Performance Form
DBE 2047.04 Form 6100-3 (1).pdf 		Form and Instruction
6100-2 DBE Subcontractor Participation Form
DBE 2047.04 Form 6100-2.pdf 		Form and Instruction
6100-4 DBE Subcontractor Utilization Form
DBE 2047.04 Form 6100-4.pdf 		Form and Instruction
6100-1i EPA DBE Certification Application (Concerns Owned by Com
DBE Cert Form - Community Development Corporations (CDCs).pdf 		Form and Instruction
6100-1h EPA DBE Certification Application (Concerns Owned by Nat
DBE Cert Form - Native Hawaiian Organization.pdf 		Form and Instruction
6100-1g EPA DBE Certification Applications (Private and Voluntar
DBE EPA Application -- Private and Voluntary Organizations.pdf 		Form and Instruction
6100-1f EPA DBE Certification Application (Tribally Owned Busine
DBE Cert form - Tribes -.pdf 		Form and Instruction
6100-1e EPA DBE Certification Application (Alaska Native Corpora
DBE Cert form - Alaska Native Corporation -.pdf 		Form and Instruction
6100-1d EPA DBE Certification Application (Corporations)
DBE Cert form - Corporations .pdf 		Form and Instruction
6100-1c EPA DBE Certification Application (Partnerships)
DBE Cert Form - Partnerships.pdf 		Form and Instruction
6100-1a EPA DBE Certification Application (Sole Proprietorship)
DBE Cert form - Sole Proprietorship.pdf 		Form and Instruction
6100-1b EPA DBE Certification Application (Limited Liability Com
DBE Cert form - Limited Liability Company (LLCs).pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 6100-3 DBE Subcontractor Performance Form DBE 2047.04 Form 6100-3 (1).pdf Yes No Printable Only
Form and Instruction 6100-2 DBE Subcontractor Participation Form DBE 2047.04 Form 6100-2.pdf Yes No Printable Only
Form and Instruction 6100-4 DBE Subcontractor Utilization Form DBE 2047.04 Form 6100-4.pdf Yes No Printable Only
Form and Instruction 6100-1i EPA DBE Certification Application (Concerns Owned by Community Development Corporations) DBE Cert Form - Community Development Corporations (CDCs).pdf Yes No Printable Only
Form and Instruction 6100-1h EPA DBE Certification Application (Concerns Owned by Native Hawaiian Organizations) DBE Cert Form - Native Hawaiian Organization.pdf Yes No Printable Only
Form and Instruction 6100-1g EPA DBE Certification Applications (Private and Voluntary Organizations) DBE EPA Application -- Private and Voluntary Organizations.pdf Yes No Printable Only
Form and Instruction 6100-1f EPA DBE Certification Application (Tribally Owned Businesses) DBE Cert form - Tribes -.pdf Yes No Printable Only
Form and Instruction 6100-1e EPA DBE Certification Application (Alaska Native Corporations) DBE Cert form - Alaska Native Corporation -.pdf Yes No Printable Only
Form and Instruction 6100-1d EPA DBE Certification Application (Corporations) DBE Cert form - Corporations .pdf Yes No Printable Only
Form and Instruction 6100-1c EPA DBE Certification Application (Partnerships) DBE Cert Form - Partnerships.pdf Yes No Printable Only
Form and Instruction 6100-1a EPA DBE Certification Application (Sole Proprietorship) DBE Cert form - Sole Proprietorship.pdf Yes No Printable Only
Form and Instruction 6100-1b EPA DBE Certification Application (Limited Liability Company) DBE Cert form - Limited Liability Company (LLCs).pdf Yes No Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,865 0 0 0 0 1,865
Annual IC Time Burden (Hours) 11,614 0 0 0 0 11,614
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.