Information Collection

Schools and Libraries Universal Service Support Program ("E-Rate") Broadband Survey

IC 191051 under ICR 200910-3060-003 · OMB 3060-1134.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NEW_BB_ERateIntro_111009.txt	Other-Survey Introduction
NEW_ERate Survey_FINAL_111009.doc	Other-Survey Instrument

IC Title:

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: New

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
Other-Survey Introduction					Yes	Yes	Fillable Fileable Signable
Other-Survey Instrument					Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	12,500	12,500
Annual IC Time Burden (Hours)	3,125	3,125
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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