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
Form Appendix G Personal Net Worth Form Form and Instruction	Modified
Form Appendix F Uniform Certification Application Form Form and Instruction	Modified
2105-0510_Supporting.Statement_Renewal 8-25-18 revision.doc Supporting Statement A	2018-08-27
30-day_Notice_2018.pdf Supplementary Document	2018-08-13
60-day_FRN_20180604__83.FR.25734.pdf Supplementary Document	2018-08-13
Electronic Code of Federal Regulations.mht Supplementary Document	2010-11-16

IC Document Collections

IC ID	Document Title	Status
25080	Report of DBE Awards and Commitments Form	Modified
213922	Percentages of DBEs in Various Categories	Modified
213920	Personal Net Worth Form Form and Instruction	Modified
213905	Annual Affidavit of No Change	Modified
213904	Uniform Certification Application Form Form and Instruction	Modified

ICR Details

OMB Control No: 2105-0510	ICR Reference No: 201808-2105-001
Status: Active	Previous ICR Reference No: 201410-2105-001
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Uniform Report of DBE Awards/Commitments and other DBE Program Collections
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2018
	Date Received in OIRA: 08/28/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	10/31/2018
Responses	59,318	0	50,852
Time Burden (Hours)	161,859	0	149,161
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 (PRA) 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. The Department published a correction to this NPRM on October 25, 2012, that included the fifth collection and extended the comment period for 60 days until December 24, 2012. See 77 FR 65164. As announced in a Federal Register notice published on November 13, 2013, the Department subsequently reopened the comment period until December 26, 2013, and held a public meeting on December 5, 2013. See 78 FR 68016. The Department published a Final Rule on October 2, 2014 that finalized, with modifications, the proposed changes in the NPRM, including those related to the Paperwork Reduction Act. 79 FR 59566. The Department seeks to combine all five collections into one OMB Control Number because it believes this will lead to more efficient administration on the part of DOT.

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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	Final or interim final rulemaking	79 FR 59566	10/02/2014

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 25734	06/04/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40117	08/13/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Percentages of DBEs in Various Categories
Personal Net Worth Form	Appendix G	Personal Net Worth Statement
Uniform Certification Application Form	Appendix F	Certification Application For Internal Coordination
Report of DBE Awards and Commitments	DOT Form 4630	Uniform Report of DBE Awards/Commitments and Payments
Annual Affidavit of No Change

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	59,318	50,852	0	8,466	0	0
Annual Time Burden (Hours)	161,859	149,161	0	12,698	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 adjustment to the total burden hours is due solely to the number of firms certified as DBEs, which increases each year. As stated in this collection, these firms must submit an annual affidavit and the burden hours reflected account for this increase.

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Annual Cost to Federal Government: $88,287

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/28/2018

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