Information Collection

Public Telecommunications Facilities Program (PTFP) Application Form

IC 4790 under ICR 200911-0660-002 · OMB 0660-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTFP-2, PTFP-4, PT Public Telecommunications Facilities Program (PTFP) Application Form	Form and Instruction
PTFP-2, PTFP-4, PT PTFP Application Form PTFP FY 2010 application.pdf www.ntia.doc.gov/ptfp/application/accessapp.htm	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 2301

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	PTFP-2, PTFP-4, PTFP-5	PTFP Application Form	PTFP FY 2010 application.pdf	http://www.ntia.doc.gov/ptfp/application/accessapp.htm	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	0	300
Annual IC Time Burden (Hours)	23,830	0	23,830
Annual IC Cost Burden (Dollars)	2,700	2,700	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.