Uniform Report of DBE Awards/Commitments and other DBE Program Collections

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DOT Form 4630 Report of DBE Awards and Commitments	Form	Modified	Repair queued
Form Appendix G Personal Net Worth Form	Form and Instruction	Modified	Repair queued
Form Appendix F Uniform Certification Application Form	Form and Instruction	Modified	Available
DBE Renewal Request 30-day FRN.pdf	Supplementary Document	Uploaded 2021-12-06	Repair queued
DBE Renewal Request 60-day FRN.pdf	Supplementary Document	Uploaded 2021-12-06	Repair queued
FINAL USDOT Renewal Request Supporting Statement (003).pdf	Supporting Statement A	Uploaded 2021-12-06	Missing upstream
Electronic Code of Federal Regulations.mht	Supplementary Document	Uploaded 2010-11-16	Source copy available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
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: 202112-2105-001
Status: Received in OIRA	Previous ICR Reference No: 201808-2105-001
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Uniform Report of DBE Awards/Commitments and other DBE Program Collections
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/09/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	65,775	0
Time Burden (Hours)	962,196	0
Cost Burden (Dollars)	0	0

---

Abstract: The Disadvantaged Business Enterprise (DBE) program is statutorily mandated and intended to assist small businesses owned and controlled by socially and economically disadvantaged individuals compete fairly in the Department’s highway, mass transit, and airport financial assistance programs. The statutory provision governing the DBE program in the highway and mass transit financial assistance programs is the Infrastructure Investment and Jobs Act (IIJA), Pub. L. 117-58 (Nov. 15, 2021) and the statutory provision governing the DBE program as it relates to airport financial assistance programs is 49 U.S.C. 47113. The Department's final regulations implementing these statutes are found in 49 CFR Part 26. The DBE program is implemented by recipients of DOT financial assistance (state highway agencies, transit authorities, and airports).

---

Authorizing Statute(s): US Code: 49 USC 47113
  

Citations for New Statutory Requirements: US Code: 49 USC 47113

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 22515	04/28/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 51444	09/15/2021
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	65,775	0	0	0	6,457	59,318
Annual Time Burden (Hours)	962,196	0	0	0	800,337	161,859
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The reason for the increase in hours and cost burdens associated with the collection results from the increase in the number of certified firms. The more firms that are certified the longer the process takes.

---

Annual Cost to Federal Government: $379,766

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? No

---

Common Form ICR:  No

---

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: 12/09/2021

---