View Information Collection (IC)
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Agenda
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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Participation by Disadvantaged Business Enterprises in Procurement under Environmental Protection Agency (EPA) Financial Assistance Agreements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
6100-1b
EPA DBE Certification Application (Limited Liability Company)
Cert form - Limited Liability Company (LLCs).pdf
Yes
No
Printable Only
Form and Instruction
6100-1a
EPA DBE Certification Application (Sole Proprietorship)
Cert form - Sole Proprietorship.pdf
Yes
No
Printable Only
Form and Instruction
6100-1c
EPA DBE Certification Application (Partnerships)
Cert Form - Partnerships.pdf
Yes
No
Printable Only
Form and Instruction
6100-1d
EPA DBE Certification Application (Corporations)
Cert form - Corporations .pdf
Yes
No
Printable Only
Form and Instruction
6100-1e
EPA DBE Certification Application (Alaska Native Corporations)
Cert form - Alaska Native Corporation -.pdf
Yes
No
Printable Only
Form and Instruction
6100-1f
EPA DBE Certification Application (Tribally Owned Businesses)
Cert form - Tribes -.pdf
Yes
No
Printable Only
Form and Instruction
6100-1g
EPA DBE Certification Application (Private and Voluntary Organizations)
EPA Application -- Private and Voluntary Organizations.pdf
Yes
No
Printable Only
Form and Instruction
6100-1h
EPA DBE Certification Application (Concerns Owned by Native Hawaiian Organizations)
Cert Form - Native Hawaiian Organization.pdf
Yes
No
Printable Only
Form and Instruction
6100-1i
EPA DBE Certification Application (Concerns Owned by Community Development Corporations)
Cert Form - Community Development Corporations (CDCs).pdf
Yes
No
Printable Only
Form and Instruction
6100-4
DBE Subcontractor Utilization Form
2047.04 Form 6100-4.pdf
Yes
No
Printable Only
Form and Instruction
6100-2
DBE Subcontractor Participation Form
2047.04 Form 6100-2.pdf
Yes
No
Printable Only
Form and Instruction
6100-3
DBE Subcontractor Performance Form
2047.04 Form 6100-3.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Environmental Monitoring and Forecasting
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,865
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,865
0
1,865
0
0
0
Annual IC Time Burden (Hours)
11,614
0
11,614
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
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