Information Collection

Broadband Infrastructure Application

IC 189812 under ICR 200909-0660-001 · OMB 0660-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0660-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Broadband Infrastructure Application	Form and Instruction
Broadband Infrastructure Application BTOP.Infrastructure Application.Final.070209.doc	Form and Instruction
Attachment A.InfraAppl.doc Attachment A	IC Document
Attachment B.InfraAppl.doc Attachment B	IC Document
Attachment C.InfraAppl.doc Attachment C	IC Document
Attachment D.InfraAppl.doc Attachment D	IC Document
Attachment E.InfraAppl.doc Attachment E	IC Document
Attachment F.InfraAppl.doc Attachment F	IC Document
Attachment G.InfraAppl.doc Attachment G	IC Document
Attachment H.InfraAppl.doc Attachment H	IC Document
Attachment I.InfraAppl.doc Attachment I	IC Document
Attachment J.InfraAppl.doc Attachment J	IC Document
Attachment K.InfraAppl.xls Attachment K	IC Document
Attachment L.InfraAppl.xls Attachment L	IC Document
Attachment M.InfraAppl.xls Attachment M	IC Document

IC Title:

Broadband Infrastructure Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Broadband Infrastructure Application	BTOP.Infrastructure Application.Final.070209.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,164	3,164
Annual IC Time Burden (Hours)	371,187	371,187
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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