Information Collection

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

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

Documents and Forms

Document Name Document Type
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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Declaration of Eligibility	DECLARATION OF ELIGIBILITY.docx		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 %

	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

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.