Information Collection

Broadband Initatives Application Package and Reporting Burdens

IC 189810 under ICR 200907-0572-002 · OMB 0572-0142.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0572-0142 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BB NOFA FINAL.docx broadbandusa.gov	Other-NOFA
Rev Attachment A - Proposed Last Mile Service Offerings.docx	Other-Attachment A
Rev Attachment B - Proposed Middle Mile Service Offerings.doc broadbandusa.gov	Other-Attachment B
Rev Attachment C - Competitor Tables - Last Mile and Middle Mile.docx broadbandusa.gov	Other-Attachment C
Rev Attachment D.doc broadbandusa.gov	Other-Attachment D
Rev Attachment E - Infrastructure Build-Out Timeline and Project Plan.docx broadbandusa.gov	Other-Attachment E
Rev Attachment F - Legal Opinion.docx broadbandusa.gov	Other-Attachment F
Rev Attachment G.doc broadbandusa.gov	Other-Attachment G
Rev Attachment H - Broadband Subscriber Estimates.docx broadbandusa.gov	Other-Attachment H
Rev Attachment I.doc broadbandusa.gov	Other-Attachment I
Rev Attachment J.doc broadbandusa.gov	Other-Attachment J
Rev Attachment K - Income Statement.xls broadbandusa.gov	Other-Attachment K
Rev Attachment L.xls broadbandusa.gov	Other-Attachment L
Rev Attachment M.xls broadbandusa.gov	Other-Attachment M
Rev Infra App.doc broadbandusa.gov	Other-Application

IC Title:

Broadband Initatives Application Package and Reporting Burdens

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-NOFA	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment A	htt://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment B	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment C	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment D	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment E	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment F	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment G	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment H	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment I	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment J	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment K	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment L	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Attachment M	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable
Other-Application	http://broadbandusa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,639	1,639
Annual IC Time Burden (Hours)	192,237	192,237
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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