ARRA Bonding Assistance Program Reimbursable Fee Program

Forms and Documents

Document Name	Status
Form DOT F 4504 ARRA Bonding Assistance Program Reimbursable Fee Program Form and Instruction	Modified
Supporting Statement_ARRA BAP.doc Supporting Statement A	2010-02-24
DOT-OST-2009-0294_30-Day Fed Reg Posting.pdf Supplementary Document	2010-02-24
60-Day FRN_DOT-OST-2009-0294-0001.pdf Supplementary Document	2010-02-24

IC Document Collections

IC ID	Document Title	Status
190341	ARRA Bonding Assistance Program Reimbursable Fee Program Form and Instruction	Modified

ICR Details

OMB Control No: 2105-0562	ICR Reference No: 201002-2105-002
Status: Historical Active	Previous ICR Reference No: 200908-2105-002
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: ARRA Bonding Assistance Program Reimbursable Fee Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/26/2010
	Date Received in OIRA: 02/26/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved	04/30/2010
Responses	1,770	0	1,770
Time Burden (Hours)	3,540	0	3,540
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected will be from the Disadvantaged Business Enterprise (DBE) working on transportation or infrastructure ARRA funded project. The information collected will be used by DOT OSDBU to verify eligibility, process the application, and disburse the reimbursement. The information being collected relates the name of the company; full street address; the Dun and Bradstreet Number (DUNS); Central Contractor Registration along with Bank information to process their payment; DOT transportation related contract information; supporting documentation that shows the federal project number, bond information along with a copy of their bond; and proof of payment of the fee. The applicant’s eligibility is determined by submitting a copy of a DBE certification and/or annual affidavit, if applicable, for bonding fee reimbursement for specific bonds. This will be verified by OSDBU staff as part of the application process. Instructions are attached along with a copy of sample letter to show how to obtain the federal project number. This information is necessary to be able to reimburse the DBE the financial assistance for the bond fees.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 Division A, Title XII Name of Law: Federal Highway Administration, Highway Infrastructure Investment
   US Code: 40 USC Title 40 Subtitle II, Part A Name of Law: Bonds of Contractors of Public Buildings or Works
  

Citations for New Statutory Requirements: US Code: 49 USC 49 CFR 26, Title 49 Name of Law: Participation By Disadvantaged Business Enterprises in Department of Transportation Financial Asst.

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 60012	11/19/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 3273	01/20/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ARRA Bonding Assistance Program Reimbursable Fee Program	DOT F 4504	ARRA Application For Reimbursement of Bond Fees

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ICR Summary of Burden

	Total Approved	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	1,770	1,770	0	0	0	0
Annual Time Burden (Hours)	3,540	3,540	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $127,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/26/2010

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