Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Affidavit of No Change Modified 45525 91050 0
Percentages of DBEs in Various Categories Modified 52 16380 0
Personal Net Worth Form Modified 9500 95000 0 Form and Instruction Appendix G Personal Net Worth Statement
Report of DBE Awards and Commitments Modified 1198 379766 0 Form DOT Form 4630 Uniform Report of DBE Awards/Commitments and Payments
Uniform Certification Application Form Modified 9500 380000 0 Form and Instruction Appendix F Certification Application For Internal Coordination
Total burden requested under this ICR: 65775 962196 0  
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