DBE Form Instructions

INSTRUCTIONS FOR COMPLETING THE UNIFORM REPORT OF DBE AWARDS/COMMITMENTS AND PAYMENTS
1. Indicate the DOT Operating Administration (OA) that provides your
8(H). From the total number of prime contracts awarded in 8(D),
Federal financial assistance. If assistance comes from more than one
specify the number awarded to DBEs through Race Neutral methods.
OA, use separate reporting forms for each OA. If you are an FTA
8(I). Of all prime contracts awarded this reporting period, calculate the
recipient, indicate your Vendor Number in the space provided.
percentage going to DBEs. Divide the dollar amount in item 8(C) by
the dollar amount in item 8(A) to derive this percentage. Round
2. If you are an FAA recipient, indicate the relevant AIP Numbers
percentage to the nearest tenth.
covered by this report. If more than six, attach a separate sheet.
3. Specify the Federal fiscal year (i.e. October 1-September 30) in
which the covered reporting period falls.
4. State the date of submission of this report.
5. Check the appropriate box that indicates the reporting period that
the data provided in this report covers. If this report is due June 1,
data should cover October 1 - March 31. If this report is due December
1, data should cover April 1 - September 30.
6. Name of the recipient.
7. State your annual DBE goal(s) established for the Federal fiscal
year of this report to be submitted to and approved by the relevant OA.
Your Overall Goal is to be reported as well as the breakdown for
specific Race Conscious and Race Neutral Goals (both of which
include gender-conscious/neutral goals). The Race Conscious Goal
portion should be based on programs that focus on and provide benefits
only for DBEs. The use of contract goals is a primary example of a
race conscious measure. The Race Neutral Goal portion should include
programs that, while benefiting DBEs, are not solely focused on DBE
firms. For example, a small business outreach program, technical
assistance, and prompt payment clauses can assist a wide variety of
businesses in addition to helping DBE firms.
8-9. The amounts in items 8(A)-9(I) should include all types of prime
contracts awarded and all types of subcontracts awarded or committed,
including: professional or consultant services, construction, purchase of
materials or supplies, lease or purchase of equipment and any other
types of services. All dollar amounts are to reflect only the Federal
share of such contracts, and should be rounded to the nearest dollar.
8(A). Provide the total dollar amount for all prime contracts assisted
with DOT funds that were awarded during this reporting period.
8(B). Provide the total number of all prime contracts assisted with
DOT funds that were awarded during this reporting period.

9(A)-9(I). Items 9(A)-9(I) are derived in the same way as items 8(A)8(I), except that these calculations should be based on subcontracts
rather than prime contracts. Unlike prime contracts, which may only
be awarded, subcontracts may be either awarded or committed.
10(A)-11(I). For all DBEs awarded prime contracts and awarded or
committed subcontracts as indicated in 8(C)-(D) and 9(C)-(D), break
the data down further by total dollar amount as well as the number of
all contracts going to each ethnic group as well as to non-minority
women. The “Other” category includes those DBEs who are not
members of the presumptively disadvantaged groups already listed, but
who are determined eligible for the DBE program on an individual
basis (e.g. a Caucasian male with a disability). The TOTALS value in
10(H) should equal the sum of 8(C) plus 9(C), and similarly, the
TOTALS value in 11(H) should equal the sum of 8(D) plus 9(D).
Column I should only be filled out if this report is due on December 1,
as indicated in item 5. The values for this column are derived by
adding the values reported in column H in your first report with the
values reported in this second report.
12(A). Provide the total number of prime contracts completed during
this reporting period that had Race Conscious goals. Race Conscious
contracts are those with contract goals or another race conscious
measure.
12(B). Provide the total dollar value of prime contracts completed this
reporting period that had race conscious goals.
12(C). Provide the total dollar amount of DBE participation on all
Race Conscious prime contracts completed this reporting period that
was necessary to meet the contract goals on them. This applies only to
Race Conscious prime contracts.
12(D). Provide the actual total DBE participation in dollars on the race
conscious prime contracts completed this reporting period.

8(C). From the total dollar amount awarded in item 8(A), provide the
dollar amount awarded to certified DBEs during this reporting period.

12(E). Of all the prime contracts completed this reporting period,
calculate the percentage of DBE participation. Divide the actual total
dollar amount in 12(D) by the total dollar value provided in 12(B) to
derive this percentage. Round to the nearest tenth.

8(D). From the total number of prime contracts awarded in item 8(B),
specify the number awarded to certified DBEs during this reporting
period.

13(A)-13(E). Items 13(A)-13(E) are derived in the same manner as
items 12(A)-12(E), except these figures should be based on Race
Neutral prime contacts (i.e. those with no race conscious measures).

8(E). From the total dollars awarded in 8(C), provide the dollar
amount awarded to DBEs though the use of Race Conscious methods.
See the definition of Race Conscious Goal in item 7 and the
explanation in item 8 of project types to include in your calculation.

14(A)-14(E). Calculate the totals for each column by adding the race
conscious and neutral figures provided in each row above.

8(F). From the total number of prime contracts awarded in 8(D),
specify the number awarded to DBEs through Race Conscious
methods.

16. Signature of the Authorized Representative.

8(G). From the total dollar amount awarded in item 8(C), provide the
dollar amount awarded to certified DBEs through the use of Race
Neutral methods. See the definition of Race Neutral Goal in item 7
and the explanation in item 8 of project types to include.

18. Fax number of the Authorized Representative.

15. Name of the Authorized Representative preparing this form.

17. Phone number of the Authorized Representative.

**Submit your completed report to your Regional or Division Office.