Information Collection

DBE Forms

IC 220691 under ICR 201603-2090-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6100-3 DBE Forms	Form and Instruction
2536.01 Registration Application.docx cfpub.epa.gov/sbvps/index.cfm?fuseaction=app.notregistered	Other-Registration
6100-3 DBE Subcontractor Performance Form 2536.01 Form 6100-3.docx	Form and Instruction
6100-4 DBE Subcontractor Utilization Form 2536.01 Form 6100-4.docx	Form and Instruction

IC Title:

DBE Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 33

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	2536.01 Form 6100-3.docx		Yes	Yes	Fillable Printable
Form and Instruction	6100-4	DBE Subcontractor Utilization Form	2536.01 Form 6100-4.docx		Yes	Yes	Fillable Printable
Other-Registration			2536.01 Registration Application.docx	https://cfpub.epa.gov/sbvps/index.cfm?fuseaction=app.notregistered	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,132

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,132	2,132
Annual IC Time Burden (Hours)	2,973	2,973
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.