Information Collection

E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms)

IC 254723 under ICR 202403-2105-004 · OMB 2105-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms)	Form and Instruction
Declaration of Eligibility E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms)	Form and Instruction
Declaration of Eligibility DECLARATION OF ELIGIBILITY.docx	Form and Instruction
Declaration of Eligibility DECLARATION OF ELIGIBILITY.docx	Form and Instruction

IC Title:

E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 23.55

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
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,233

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	1,233	1,233
Annual IC Time Burden (Hours)	617	617
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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