PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
A1 - ACDBE Small Business Element (Program Plan Submission)
Modified
396
2218
0
A2 - ACDBE Small Business Element (SBE Participant Reporting)
Modified
396
4752
0
B1 - ACDBE Active Participants List (Airports)
Modified
396
16632
0
Form
n/a
Active Participant List
B2 - ACDBE Active Participants List (firms)
Modified
3945
1973
0
C - ACDBE Annual Report (various categories)
Modified
53
16854
0
D - Approval of LTE Agreements
Modified
126
121716
0
E1 - Eligibility for Continued Counting after Removal (Decertified ACDBE firms)
Modified
1233
617
0
Form and Instruction
n/a
Declaration of Eligibility
E2 - Eligibility for Continued Counting after Removal (Airport recipients)
Modified
396
396
0
Form
n/a
Declaration of Eligibility
F - Annual Report on Participation
Modified
396
1980
0
Form and Instruction
n/a
Revised part 23 Uniform Report on Participation
G - Personal Net Worth
Modified
4375
35000
0
Form and Instruction
n/a
Personal Net Worth
H - Uniform Certification Application
Modified
4375
153125
0
Form and Instruction
n/a
Uniform Certification Application
I - Annual Affidavit of No Change
Modified
45525
22763
0
Form and Instruction
n/a
Declaration of Eligibility
J - Maintaining/updating Bidders List
Modified
4917
39336
0
Form
n/a
Bidders List Form
K - Reporting (Various Categories) MAP-21 Data Report
Modified
53
16854
0
L - Updating/maintaining State Directories
New
660
165
0
M - Open Ended Performance Plan
New
10000
30000
0
N - Mailing/maintaining Summary Suspension Notices
New
680
170
0
O - Uniform Report
New
2459
779503
0
Form
n/a
DBE uniform Report Template
P - Monitoring Performance
New
43128
1940760
0
Form
n/a
DBE Regular Dealer/Distributor Affirmation Form
Q - Updating Unified Certification Program (UCP) Agreements
New
53
2650
0
R - Evaluating the DBE Certification Eligibility of Applicant Firms
New
994620
1989240
0
S - Providing Evidence of Certification (when a firm applies to another state)
New
68
1020
0
T - Narratives for Social and Economic Disadvantage
New
264
6336
0
U - Submitting Administrative Record (when the Department gives notices of a denied or decertified)
New
150
450
0
Total burden requested under this ICR:
1118664
5184510
0
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