Information Collection Request

Disadvantaged Business Enterprise Program and Airport Concession Disadvantaged Business Enterprise Program Modifications

ICR 202403-2105-004 · OMB 2105-0586 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
DBE Regular Dealer/Distributor Affirmation Form Form New Available
P - Monitoring Performance Form New Repair queued
DBE uniform Report Template Form New Available
O - Uniform Report Form New Repair queued
Bidders List Form Form Modified Available
J - Maintaining/updating Bidders List Form Modified Repair queued
Declaration of Eligibility Form and Instruction Modified Available
I - Annual Affidavit of No Change Form and Instruction Modified Repair queued
Uniform Certification Application Form and Instruction Modified Available
H - Uniform Certification Application Form and Instruction Modified Repair queued
Personal Net Worth Form and Instruction Modified Available
G - Personal Net Worth Form and Instruction Modified Repair queued
Revised part 23 Uniform Report on Participation Form and Instruction Modified Available
F - Annual Report on Participation Form and Instruction Modified Available
Declaration of Eligibility Form Modified Available
E2 - Eligibility for Continued Counting after Removal (Airport recipients) Form Modified Repair queued
Declaration of Eligibility Form and Instruction Modified Available
E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms) Form and Instruction Modified Repair queued
Active Participant List Form Modified Available
B1 - ACDBE Active Participants List (Airports) Form Modified Repair queued
DBE-ACDBE Rule PRA Supporting Statement .docx Supporting Statement A Uploaded 2024-04-09 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
266406 U - Submitting Administrative Record (when the Department gives notices of a denied or decertified) New
266405 T - Narratives for Social and Economic Disadvantage New
266402 S - Providing Evidence of Certification (when a firm applies to another state) New
266401 R - Evaluating the DBE Certification Eligibility of Applicant Firms New
266400 Q - Updating Unified Certification Program (UCP) Agreements New
266399 P - Monitoring Performance Form NewDBE Regular Dealer/Distributor Affirmation Form
266399 P - Monitoring Performance Form New
266398 O - Uniform Report Form NewDBE uniform Report Template
266398 O - Uniform Report Form New
266395 N - Mailing/maintaining Summary Suspension Notices New
266393 M - Open Ended Performance Plan New
266392 L - Updating/maintaining State Directories New
254741 K - Reporting (Various Categories) MAP-21 Data Report Modified
254740 J - Maintaining/updating Bidders List Form ModifiedBidders List Form
254740 J - Maintaining/updating Bidders List Form Modified
254739 I - Annual Affidavit of No Change Form and Instruction ModifiedDeclaration of Eligibility
254739 I - Annual Affidavit of No Change Form and Instruction Modified
254738 H - Uniform Certification Application Form and Instruction ModifiedUniform Certification Application
254738 H - Uniform Certification Application Form and Instruction Modified
254730 G - Personal Net Worth Form and Instruction ModifiedPersonal Net Worth
254730 G - Personal Net Worth Form and Instruction Modified
254728 F - Annual Report on Participation Form and Instruction ModifiedRevised part 23 Uniform Report on Participation
254728 F - Annual Report on Participation Form and Instruction Modified
254724 E2 - Eligibility for Continued Counting after Removal (Airport recipients) Form ModifiedDeclaration of Eligibility
254724 E2 - Eligibility for Continued Counting after Removal (Airport recipients) Form Modified
254723 E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms) Form and Instruction ModifiedDeclaration of Eligibility
254723 E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms) Form and Instruction Modified
254719 D - Approval of LTE Agreements Modified
254718 C - ACDBE Annual Report (various categories) Modified
254717 B2 - ACDBE Active Participants List (firms) Modified
254716 B1 - ACDBE Active Participants List (Airports) Form ModifiedActive Participant List
254716 B1 - ACDBE Active Participants List (Airports) Form Modified
254715 A2 - ACDBE Small Business Element (SBE Participant Reporting) Modified
254710 A1 - ACDBE Small Business Element (Program Plan Submission) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2027 36 Months From Approved
1,118,664 0 0
5,184,510 0 0
0 0 0





Reginfo record details
24
table that charts list of burden
IC Title Form No. Form Name
A1 - ACDBE Small Business Element (Program Plan Submission)
A2 - ACDBE Small Business Element (SBE Participant Reporting)
B1 - ACDBE Active Participants List (Airports) n/a
B2 - ACDBE Active Participants List (firms)
C - ACDBE Annual Report (various categories)
D - Approval of LTE Agreements
E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms) n/a
E2 - Eligibility for Continued Counting after Removal (Airport recipients) n/a
F - Annual Report on Participation n/a
G - Personal Net Worth n/a
H - Uniform Certification Application n/a
I - Annual Affidavit of No Change n/a
J - Maintaining/updating Bidders List n/a
K - Reporting (Various Categories) MAP-21 Data Report
L - Updating/maintaining State Directories
M - Open Ended Performance Plan
N - Mailing/maintaining Summary Suspension Notices
O - Uniform Report n/a
P - Monitoring Performance n/a
Q - Updating Unified Certification Program (UCP) Agreements
R - Evaluating the DBE Certification Eligibility of Applicant Firms
S - Providing Evidence of Certification (when a firm applies to another state)
T - Narratives for Social and Economic Disadvantage
U - Submitting Administrative Record (when the Department gives notices of a denied or decertified)

table that charts list 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 1,118,664 0 0 1,118,664 0 0
Annual Time Burden (Hours) 5,184,510 0 0 5,184,510 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No