32654 Federal Register / Vol. 80, No. 110 / Tuesday, June 9, 2015 / Notices 

established criteria, or incomplete at the 

time of submission will be disqualified. 

OSDBU will perform a responsibility 

determination of the prospective 

awardee in the region, which may 

include a site visit, before awarding the 

cooperative agreement. 

4.3 Conflicts of Interest 

Applicants must submit signed 

statements by key personnel and all 

organization principals indicating that 

they, or members of their immediate 

families, do not have a personal, 

business or financial interest in any 

DOT-funded transportation project, nor 

any relationships with local or state 

transportation agencies that may have 

the appearance of a conflict of interest. 

Appendix A—Format for Proposals for 

the Department of Transportation 

Office of Small and Disadvantaged 

Business Utilization’s Small Business 

Transportation Resource Center 

(SBTRC) Program 

Submitted proposals for the DOT, Office of 

Small and Disadvantaged Business 

Utilization’s Small Business Transportation 

Resource Center Program must contain the 

following 12 sections and be organized in the 

following order: 

1. TABLE OF CONTENTS 

Identify all parts, sections and attachments 

of the application. 

2. APPLICATION SUMMARY 

Provide a summary overview of the 

following: 

• The applicant’s proposed SBTRC region 

and city and key elements of the plan of 

action/strategy to achieve the SBTRC 

objectives. 

• The applicant’s relevant organizational 

experience and capabilities. 

3. UNDERSTANDING OF THE WORK 

Provide a narrative which contains specific 

project information as follows: 

• The applicant will describe its 

understanding of the OSDBU’s SBTRC 

program mission and the role of the 

applicant’s proposed SBTRC in advancing 

the program goals. 

• The applicant will describe specific 

outreach needs of transportation-related 

small businesses in the applicant’s region 

and how the SBTRC will address the 

identified needs. 

4. APPROACH AND STRATEGY 

• Describe the applicant’s plan of action/ 

strategy for conducting the program in terms 

of the tasks to be performed. 

• Describe the specific services or 

activities to be performed and how these 

services/activities will be implemented. 

• Describe innovative and creative 

approaches to assist small businesses to 

become successful transportation contractors 

and increase their ability to access DOT 

contracting opportunities and financial 

assistance programs. 

• Estimated direct costs, other than labor, 

to execute the proposed strategy. 

5. LINKAGES 

• Describe established relationships within 

the geographic region and demonstrate the 

ability to coordinate and establish effective 

networks with DOT grant recipients and 

local/regional technical assistance agencies. 

• Describe the strategy to obtain support 

and collaboration on SBTRC activities from 

DOT grantees and recipients, transportation 

prime contractors and subcontractors, the 

SBA, U.S. Department of Commerce’s 

Minority Business Development Centers 

(MBDCs), Service Corps of Retired Executives 

(SCORE), Procurement Technical Assistance 

Centers (PTACs), Small Business 

Development Centers (SBDCs), State DOTs, 

and State highway supportive services 

contractors. 

• Describe the outreach strategy related to 

the identified needs that can be successfully 

carried out within the period of this 

agreement and a plan for involving the 

Planning Committee in the execution of that 

strategy. 

6. ORGANIZATIONAL CAPABILITY 

• Describe recent and relevant past 

successful performance in addressing the 

needs of small businesses, particularly with 

respect to transportation-related small 

businesses. 

• Describe internal technical, financial 

management, and administrative resources. 

• Propose a plan for sufficient matching 

alternative financial resources to fund the 

general and administrative costs of the 

SBTRC. 

7. STAFF CAPABILITY AND EXPERIENCE 

• List proposed key personnel, their 

salaries and proposed fringe benefit factors. 

• Describe the education, qualifications 

and relevant experience of key personnel. 

Attach detailed resumes. 

• Proposed staffing plan. Describe how 

personnel are to be organized for the program 

and how they will be used to accomplish 

program objectives. Outline staff 

responsibilities, accountability and a 

schedule for conducting program tasks. 

8. COST PROPOSAL 

• Outline the total proposed cost of 

establishing and administering the SBTRC in 

the applicant’s geographical region for a 12 

month period, inclusive of costs funded 

through alternative matching resources. 

Clearly identify the portion of the costs 

funded by OSDBU. 

• Provide a brief narrative linking the cost 

proposal to the proposed strategy. 

9. PROOF OF TAX EXEMPT STATUS 

10. ASSURANCES SIGNATURE FORM 

Complete the attached Standard Form 

424B.ASSURANCES–NON CONSTRUCTION 

PROGRAMS identified as Attachment 1. 

11. CERTIFICATION SIGNATURE FORMS 

Complete form DOTF2307–1 DRUG–FREE 

WORKPLACE ACT CERTIFICATION FOR a 

GRANTEE OTHER THAN AN INDIVIDUAL 

identified as attachment 2 and Form 

DOTF2308–1 CERTIFICATION REGARDING 

LOBBYING FOR CONTRACTS, GRANTS, 

LOANS, AND COOPERATIVE 

AGREEMENTS identified as Attachment 3. 

Signed Conflict of Interest Statements 

The statements must say that they, or 

members of their immediate families, do not 

have a personal, business or financial interest 

in any DOT-funded transportation projects, 

nor any relationships with local or state 

transportation agencies that may have the 

appearance of a conflict of interest. 

12. STANDARD FORM 424 

Complete Standard Form 424 Application 

for Federal Assistance identified as 

Attachment 4. 

PLEASE BE SURE THAT ALL FORMS 

HAVE BEEN SIGNED BY AN AUTHORIZED 

OFFICIAL WHO CAN LEGALLY 

REPRESENT THE ORGANIZATION. 

Brandon Neal, 

Director, Office of Small and Disadvantaged 

Business Utilization, Office of the Secretary, 

U.S. Department of Transportation. 

[FR Doc. 2015–14030 Filed 6–8–15; 8:45 am] 

BILLING CODE 4910–9X–P 

DEPARTMENT OF TRANSPORTATION 

Office of the Secretary 

[Docket Number: DOT–OST–2015–0123] 

Request for OMB Clearance of a New 

Information Collection; New 

Information Collection: Women and 

Girls in Transportation Initiative 

lntemship Volunteer Program 

AGENCY: Office of the Secretary (OST), 

U.S. Department of Transportation 

(DOT). 

ACTION: 60-Day Notice; Letter of public 

notification of the Women and Girls in 

Transportation Initiative lnternship 

Volunteer Program (WITIIP) information 

collection activity. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, 

Public law 104–13 (44 U.S.C. 3501 et 

seq) this notice announces the 

Information Collection Request on DOT 

Form OST 1250.1 Application for 

Transportation Internship, DOT Form 

OST 1250.1A Student Internship 

Evaluation, andDOT Form OST 1250.18 

Internship Evaluation for this new DOT 

program. 

Executive Order 13506, (‘‘EO 13506’’) 

dated March 11, 2009, entitled 

‘‘Establishing a White House Council on 

Women and Girls’’. EO 13506 requires 

Federal agencies to address issues that 

particularly impact the lives of women 

and girls and to ensure that Federal 

programs and policies address and take 

into account the distinctive concerns of 

women and girls, including women of 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 80, No. 110 / Tuesday, June 9, 2015 / Notices 32655 

color and those with disabilities. 

Furthermore, EO 13506 points 

specifically to the fact that women are 

still significantly underrepresented in 

the science, engineering, and technology 

fields. In response to EO 13506, DOT 

established the WITI. The WITI 

encourages women and girls to pursue 

careers in the science, technology, 

engineering, and mathematics fields and 

enter the transportation industry 

through outreach and the provision of 

transportation-related internship 

opportunities. The program is 

administered by the DOT OST Office of 

Small and Disadvantaged Business 

Utilization (OSDBU). 

FOR FURTHER INFORMATION CONTACT: For 

further information concerning this 

notice, contact Michelle Harris, 

Manager, Regional Assistance Division, 

OSDBU, U.S Department of 

Transportation, 1200 New Jersey Ave, 

SE., Room W56–444, Washington, DC 

20590. Telephone: 1–800–532–1169 or 

202–366–1930. Email: michelle.harris@

dot.gov. 

SUPPLEMENTARY INFORMATION: 

Title: Women and Girls in 

Transportation Initiative lnternship 

Volunteer Program Application for 

lnternship Volunteer. 

Catalog of Federal Domestic 

Assistance Number: 20.907 Women and 

Girls in Transportation Initiative. 

OMB Control Number: 2105–XXXX. 

Form Number: OST F 1250.1. 

Affected Public: Female students 

currently enrolled in a participating 

institution of education with a 2.8 Grade 

Point Average or higher. 

Frequency: One-time. 

Estimated Average Burden per 

Response: 2 hours. 

Estimated Annual Burden Hours: 660 

hours. 

Abstract: The information collected 

will be from female students currently 

enrolled in a participating institution of 

education with a 2.8 Grade Point 

Average or higher. The information 

collected will be used by DOT OSDBU 

to verify eligibility and process the 

application. The information being 

collected relates the name of the 

student; gender; full street address; 

email address; phone number; school 

name; school address; current Grade 

Point Average; expected graduation 

date; major area of study; minor area of 

study; and a professor’s evaluation of 

the student’s critical skills and the 

professor’s recommendation. A copy of 

the student’s most current transcript 

will be collected to verify the student’s 

enrollment status and Grade Point 

Average. A one-page letter of interest 

will be collected in order to select the 

best candidates for the different 

transportation-related internships 

available. 

Title: Women and Girls in 

Transportation Initiative lnternship 

Volunteer Program Student Evaluation. 

Catalog of Federal Domestic 

Assistance Number: 20.907 Women and 

Girls in Transportation initiative 

lnternship Volunteer Program. 

OMB Control Number: 2105–XXXX. 

Form Number: OST F 1250.1A. 

Affected Public: Transportationrelated internship/volunteer providers. 

Frequency: One-time. 

Estimated Average Burden per 

Response: 2 hours. 

Estimated Annual Burden Hours: 660 

hours. 

Abstract: The information collected 

will be from internship/volunteer 

providers at the conclusion of the 

student’s transportation-related 

internship/volunteer opportunity. The 

information collected will be used by 

participating educational institutions to 

verify successful completion of the 

internship for academic credit, if 

offered. The evaluation will also be used 

by DOT OSDBU to verify successful 

completion of the internship/volunteer 

position to evaluate the student’s 

performance in the event the students 

apply for future internship/volunteer 

opportunities offered by the program. 

The information collected will also be 

used by the intern to identify their 

strengths and areas of improvement. 

The information being collected relates 

the name of the organization; full street 

address; name of the supervisor and 

evaluator; internship semester; date the 

internship/volunteer positon concluded; 

internship description; intern’s name, 

major area of study, and school name. 

The information collected also relates 

the evaluation of the student’s 

performance of the performance 

elements; evaluation of the student’s 

strengths and weaknesses; evaluator’s 

general comments; and the internship/

volunteer provider’s willingness to host 

future interns. 

Title: Women and Girls Internship in 

Transportation lnternship Volunteer 

Program Evaluation. 

Catalog of Federal Domestic 

Assistance Number: 20.907 

Entrepreneurial Training and Technical 

Assistance Women and Girls Program. 

OMB Control Number: 2105–XXXX. 

Form Number: OST F 1250.18. 

Affected Public: WITI student interns/ 

volunteers. 

Frequency: One-time. 

Estimated Average Burden per 

Response: 2 hours. 

Estimated Annual Burden Hours: 660 

hours. 

Abstract: The information collected 

will be from student interns/volunteers 

at the conclusion of the student’s 

transportation-related internship/

volunteer experience. The information 

collected will be used by DOT OSDBU 

to evaluate internship/volunteer 

providers and the student’s experience 

to improve the WIT! and possibly 

identify potential problem internship/

volunteer providers. The information 

being collected relates the name of the 

student’s major area of study, and 

school name; internship provider’s 

name, full mailing address; intern/

volunteer’s supervisor; internship/

volunteer semester; date the position 

concluded; and internship/volunteer 

description. The information collected 

also relates the evaluation of the 

internship/volunteer provider and 

internship/volunteer experience; 

suggested WITI improvements; 

evaluator’s general comments; and the 

intern’s willingness to apply for future 

opportunities. 

Brandon Neal, 

Director, Office of Small and Disadvantaged 

Business Utilization. 

[FR Doc. 2015–14031 Filed 6–8–15; 8:45 am] 

BILLING CODE 4910–9X–P 

DEPARTMENT OF TRANSPORTATION 

Office of The Secretary 

Application of Menagerie Enterprises, 

Inc. d/b/a Monarch Air for Commuter 

Air Carrier Authority 

AGENCY: Department of Transportation 

ACTION: Notice of Order to Show Cause 

(Order 2015–6–1) Docket DOT–OST– 

2014–0192 

SUMMARY: The Department of 

Transportation is directing all interested 

persons to show cause why it should 

not issue an order finding Menagerie 

Enterprises, Inc. d/b/a Monarch Air, fit, 

willing, and able, and awarding it 

commuter air carrier authorization. 

DATES: Persons wishing to file 

objections should do so no later than 

June 10, 2015. 

ADDRESSES: Objections and answers to 

objections should be filed in Dockets 

DOT–OST–2014–0192 and addressed to 

the U.S. Department of Transportation, 

Docket Operations, 1200 New Jersey 

Avenue SE., West Building Ground 

Floor, M–30, Room W12–140, 

Washington, DC and should be served 

upon the parties listed in Attachment A 

to the order. 

FOR FURTHER INFORMATION CONTACT: 

Shabu Thomas, Air Carrier Fitness 


tkelley on DSK3SPTVN1PROD with NOTICES