Information Collection Request

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

ICR 202608-2105-001 · OMB 2105-0586 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
DBE Regular Dealer/Distributor Affirmation Form Form Unchanged Available
Uniform Report Template - Awards and Commitments Form and Instruction Modified Available
Bidders List Form Form Modified Available
Declaration of Eligibility Form and Instruction Unchanged Available
Uniform Certificate Application Form Modified Available
Personal Networth Statement Form Modified Available
Revised part 23 Uniform Report on Participation Form and Instruction Unchanged Available
Declaration of Eligibility Form Unchanged Available
Declaration of Eligibility Form and Instruction Unchanged Available
Active Participant List Form Unchanged Available
Appendix A - DBE-ACDBE Summary of Comments (final).docx Public Comments Uploaded 2026-08-05 Available
DBE-ACDBE Rule PRA Supporting Statement - 2025 DBE IFR (final - clean).docx Supporting Statement A Uploaded 2026-08-19 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
282084 BB - Removing DBE Firm Eligibility New
282083 AA - Transit Vehicle Manufacturers Goals Setting New
282082 Z - Maintaining Written Denial Letters New
282081 Y - Documenting Good Faith Efforts New
282080 X - Analyzing Discrepancies (DBE Shortfall Analysis) New
282079 W - Setting Overall Goals for DBE Participation New
282078 V - UCP Reevaluation of applications for DBE/ACDBE New
282077 U2 - Application for DBE/ACDBE New
266406 U1 - Reapplication for DBE/ACDBE Modified
266405 T - Notice of denial or decertification Modified
266402 S - Providing Evidence of Certification (when a firm applies to another state) Modified
266401 R - Evaluating the DBE Certification Eligibility of Applicant Firms Unchanged
266400 Q - Updating Unified Certification Program (UCP) Agreements Unchanged
266399 P - Monitoring Performance Form UnchangedDBE Regular Dealer/Distributor Affirmation Form
266398 O - Uniform Report Form and Instruction ModifiedUniform Report Template - Awards and Commitments
266395 N - Mailing/maintaining Summary Suspension Notices Unchanged
266393 M - Open Ended Performance Plan Unchanged
266392 L - Updating/maintaining State Directories Modified
254741 K - Reporting (Various Categories) MAP-21 Data Report Modified
254740 J - Maintaining/updating Bidders List Form ModifiedBidders List Form
254739 I - Annual Affidavit of No Change Form and Instruction UnchangedDeclaration of Eligibility
254738 H - Uniform Certification Application Form ModifiedUniform Certificate Application
254730 G - Personal Net Worth Form ModifiedPersonal Networth Statement
254728 F - Annual Report on Participation Form and Instruction UnchangedRevised part 23 Uniform Report on Participation
254724 E2 - Eligibility for Continued Counting after Removal (Airport recipients) Form UnchangedDeclaration of Eligibility
254723 E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms) Form and Instruction UnchangedDeclaration of Eligibility
254719 D - Approval of LTE Agreements Modified
254718 C - ACDBE Annual Report (various categories) Modified
254717 B2 - ACDBE Active Participants List (firms) Unchanged
254716 B1 - ACDBE Active Participants List (Airports) Form UnchangedActive Participant List
254715 A2 - ACDBE Small Business Element (SBE Participant Reporting) Unchanged
254710 A1 - ACDBE Small Business Element (Program Plan Submission) Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2027
1,310,320 1,118,664
6,793,946 5,184,510
0 0





Reginfo record details
32
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)
AA - Transit Vehicle Manufacturers Goals Setting
B1 - ACDBE Active Participants List (Airports) n/a
B2 - ACDBE Active Participants List (firms)
BB - Removing DBE Firm Eligibility
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 - Notice of denial or decertification
U1 - Reapplication for DBE/ACDBE
U2 - Application for DBE/ACDBE
V - UCP Reevaluation of applications for DBE/ACDBE
W - Setting Overall Goals for DBE Participation
X - Analyzing Discrepancies (DBE Shortfall Analysis)
Y - Documenting Good Faith Efforts
Z - Maintaining Written Denial Letters

table that charts list of burden
  Total Request 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 1,310,320 1,118,664 0 191,656 0 0
Annual Time Burden (Hours) 6,793,946 5,184,510 0 1,609,436 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No