Epa Form 6100 3 PDF Details

In a bid to foster inclusivity and equity, the Environmental Protection Agency (EPA) has established the Disadvantaged Business Enterprise (DBE) Program, which is encapsulated in the EPA Form 6100-3, specifically designed for DBE Subcontractor Performance. This form plays a crucial role in ensuring that disadvantaged businesses, defined broadly as companies, firms, joint ventures, or individuals that undertake contractual work with prime contractors on EPA-funded projects, are vetted and monitored for performance and compliance. It requires detailed information about the subcontractor, including but not limited to the project name, address, bid/proposal number, and the scope of work or services provided. Furthermore, it queries whether the subcontractor is certified as a Minority Business Enterprise (MBE) or Women's Business Enterprise (WBE) under the EPA’s DBE Program, a detail that underscores the EPA's commitment to supporting underrepresented business entities. Scheduled for reevaluation and approval every few years, the form had its last approval in May 2008 with an expiration date set for the end of January 2011, highlighting the dynamic nature of regulatory compliance and the potential for updates to reflect evolving priorities and standards. The form also delves into the administrative burden it imposes, indicating an awareness of the importance of balancing regulatory oversight with operational practicality for businesses. This awareness is further demonstrated through the invitation for public comment on the form’s necessity and the accuracy of estimated burdens, reflecting a commitment to transparency and stakeholder engagement in the regulatory process.

QuestionAnswer
Form NameEpa Form 6100 3
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 6100 3, subcontractor performance fifteen, 6100 dbe form, form dbe environmental

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 Performance Form

NAME OF SUBCONTRACTOR1

PROJECT NAME

ADDRESS

BID/PROPOSAL NO.

TELEPHONE NO.

E-MAIL ADDRESS

PRIME CONTRACTOR NAME

CONTRACT ITEM NO.

ITEM OF WORK OR DESCRIPTION OF SERVICES BID TO PRIME

PRICE OF WORK

SUBMITTED TO PRIME CONTRACTOR

Currently certified as an MBE or WBE under EPA’s DBE Program? ______ Yes ______ No Signature of

Prime Contractor Date Print Name Title ___________________________________________

__________________________________________ Signature of Subcontractor Date

___________________________________________ __________________________________________ Print

Name Title

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 6100-3 (DBE SUBCONTRACTOR PERFORMANCE FORM)

OMB Control No:

2090-0030

Approved:

05/01/2008

Approval Expires:

01/31/2011

Environmental

Protection Agency

Disadvantaged Business Enterprise Program

DBE Subcontractor Performance 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 Performance Form to this address.

EPA FORM 6100-3 (DBE SUBCONTRACTOR PERFORMANCE FORM)