Mentor-Protégé Program

Forms and Documents

Document Name	Status
Form OST F 5020.2 M/P PROGRAM EVALUATION Participant Report Form and Instruction	New
Form OST F 5020.1 M/P ANNUAL Report Form and Instruction	New
Mentor_Protege_Supporting_Statement_20150225_ final.doc Supporting Statement A	2015-02-25
30_Day_Notice_Mentor_Protege_Program_20140827_2014-20368.pdf Supplementary Document	2014-09-08
60-Day_Mentor_Protege_Program_2014-15316.pdf Supplementary Document	2014-09-08
Small Business Act.pdf Supplementary Document	2014-09-08
Minority Resource Center 49 USC 332.pdf Supplementary Document	2014-09-08

IC Document Collections

IC ID	Document Title	Status
213028	M/P PROGRAM EVALUATION Participant Report Form and Instruction	New
213026	M/P ANNUAL Report Form and Instruction	New
213022	M/P AGREEMENT GUIDANCE Instruction	New

ICR Details

OMB Control No: 2105-0570	ICR Reference No: 201409-2105-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Mentor-Protégé Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/25/2015
	Date Received in OIRA: 10/06/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved
Responses	66	0	0
Time Burden (Hours)	90	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Transportation (DOT) is implementing a Mentor-Protégé Pilot Program that encourages agreements between large and small business prime contractors and eligible small business protégés. Small business concerns include small disadvantaged businesses, 8(a) firms, women owned businesses, HUBZone small businesses, veteran-owned-businesses and service disabled veteran-owned small businesses. The program is also designed to improve the performance of DOT contractors and subcontractors, foster the establishment of long-term business relationships between small businesses and prime contractors, and increase the overall number of small businesses that receive DOT contract and subcontract awards.

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Authorizing Statute(s): PL: Pub.L. 95 - 507 Section 8, 15 and 31 Name of Law: Small Business Act
   US Code: 49 USC 332 Name of Law: Minority Resource Center (MRC)
  

Citations for New Statutory Requirements: None

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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:
	79 FR 36858	06/30/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 51222	08/27/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
M/P AGREEMENT GUIDANCE
M/P PROGRAM EVALUATION Participant Report	OST F 5020.2	Mentor Protégé PROGRAM EVALUATION Participant Report
M/P ANNUAL Report	OST F 5020.1	Mentor Protégé Program Participant Annual Report

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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	66	0	0	66	0	0
Annual Time Burden (Hours)	90	0	0	90	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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: $14,860

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 10/06/2014

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