OMB control number
Uniform Report of DBE Awards/Commitments and other DBE Program Collections
OMB 2105-0510 ยท DOT/OST.
OMB 2105-0510
This is to request the Office of Management and Budget (OMB) to provide Paperwork Reduction Act (PRA) clearance on five information collections associated with the Department's Disadvantaged Business Enterprise (DBE) program, four of which were included in the Notice of Proposed Rulemaking (NPRM), entitled "Disadvantaged Business Enterprise: Program Implementation Modifications," published on September 6, 2012. See 77 FR 54952. The Department published a correction to this NPRM on October 25, 2012, that included the fifth collection and extended the comment period for 60 days until December 24, 2012. See 77 FR 65164. As announced in a Federal Register notice published on November 13, 2013, the Department subsequently reopened the comment period until December 26, 2013, and held a public meeting on December 5, 2013. See 78 FR 68016. The Department published a Final Rule on October 2, 2014 that finalized, with modifications, the proposed changes in the NPRM, including those related to the Paperwork Reduction Act. 79 FR 59566. The Department seeks to combine all five collections into one OMB Control Number because it believes this will lead to more efficient administration on the part of DOT.
The latest form for Uniform Report of DBE Awards/Commitments and other DBE Program Collections expires 2021-10-31 and is listed under ICR 201808-2105-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DOT Form 4630 Report of DBE Awards and Commitments | Form |
 Form Appendix G Personal Net Worth Form | Form and Instruction |
 Form Appendix F Uniform Certification Application Form | Form and Instruction |
| DBE Renewal Request 30-day FRN.pdf | Supplementary Document |
| DBE Renewal Request 60-day FRN.pdf | Supplementary Document |
| FINAL USDOT Renewal Request Supporting Statement (003).pdf | Supporting Statement A |
 Electronic Code of Federal Regulations.mht | Supplementary Document |
 Report of DBE Awards and Commitments |
Form |
| Percentages of DBEs in Various Categories |
Information collection |
| Personal Net Worth Form |
Form and Instruction |
| Annual Affidavit of No Change |
Information collection |
| Uniform Certification Application Form |
Form and Instruction |
All Historical Document Collections
OMB Details
Report of DBE Awards and Commitments
Federal Enterprise Architecture: Economic Development - Business and Industry Development
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form DOT Form 4630 | Uniform Report of DBE Awards/Commitments and Payments | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.