Information Collection

Shortfalls in Meeting Overall ACDBE Goals - Recordkeeping

IC 252978 under ICR 202206-2120-010 · OMB 2120-0807.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ACDBE Annual Report and Shortfall Analysis - FAACivilRightsConnect_UserGuide.pdf faa.civilrightsconnect.com/FAA/login.asp	Instruction
ACDBE Annual Report and Shortfall Analysis - FAACivilRightsConnect_UserGuide.pdf faa.civilrightsconnect.com/FAA/login.asp	Instruction
49 CFR 23.57(b)(3)(ii).pdf 49 CFR 23.57(b)(3)(ii)	IC Document
49 CFR 23.57(b)(3)(ii).pdf 49 CFR 23.57(b)(3)(ii)	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 23

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
Instruction			ACDBE Annual Report and Shortfall Analysis - FAACivilRightsConnect_UserGuide.pdf	https://faa.civilrightsconnect.com/FAA/login.asp	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	2,520	2,520
Annual IC Cost Burden (Dollars)	125,572	125,572

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
49 CFR 23.57(b)(3)(ii)	49 CFR 23.57(b)(3)(ii).pdf	04/27/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.