Epa Form 6100 2 PDF Details

At the heart of efforts to ensure fairness and equity in environmental contracts, the Environmental Protection Agency (EPA) requires the use of the EPA Form 6100-2, also known as the Disadvantaged Business Enterprise (DBE) Subcontractor Participation Form. Instituted to foster inclusivity, this form plays a pivotal role for subcontractors working under EPA-funded projects. It essentially serves as a tool for these subcontractors to report their participation, enabling them to outline the details of their involvement, including the nature and cost of services provided. Furthermore, it offers a platform to voice any issues encountered during the project, such as reasons for termination by the prime contractor or experiences of late payments, ensuring any grievances are formally recorded. With a validity stamped by the Office of Management and Budget (OMB), this document underscores the EPA’s commitment to supporting disadvantaged business enterprises, reflecting a broader mandate to cultivate diversity and equal opportunity within the environmental sector. As much as it is a requirement, completing this form is also a step towards greater transparency and accountability in environmental contracts, guaranteeing that the contributions of all parties are recognized and safeguarded.

QuestionAnswer
Form NameEpa Form 6100 2
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesepa form 6100 3, fillable epa form 6100 2, DBE, Pennsylvania

Form Preview Example

OMB Control No: 2090-0030

Approved: 05/01/2008

Approval Expires: 01/31/2011

Environmental

Protection Agency

Disadvantaged Business Enterprise Program

DBE Subcontractor Participation Form

NAME OF SUBCONTRACTOR1

PROJECT NAME

ADDRESS

CONTRACT NO.

TELEPHONE NO.

EMAIL ADDRESS

PRIME CONTRACTOR NAME

Please use the space below to report any concerns regarding the above EPA-funded project (e.g., reason for termination by prime contractor, late payment, etc.).

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

 

 

AMOUNT

CONTRACT

ITEM OF WORK OR DESCRIPTION OF SERVICES RECEIVED FROM

SUBCONTRACTOR

ITEM NO.

THE PRIME CONTRACTOR

WAS PAID BY PRIME

 

 

CONTRACTOR

 

 

 

 

 

 

_________________________________

____________________________________________

Subcontractor Signature

Title/Date

1Subcontractor is defined as a company, firm, joint venture, or individual who enters into an agreement with a contractor to provide services pursuant to an EPA award of financial assistance.

EPA FORM 6100-2 (DBE Subcontractor Participation Form)

OMB Control No: 2090-0030

Approved: 05/01/2008

Approval Expires: 01/31/2011

Environmental

Protection Agency

Disadvantaged Business Enterprise Program

DBE Subcontractor Participation Form

The public reporting and recordkeeping burden for this collection of information is estimated to average fifteen

(15)minutes. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed EPA DBE Subcontractor Participation Form to this address.

EPA FORM 6100-2 (DBE Subcontractor Participation Form)