Information Collection

Public Telecommunications Facilities Program (PTFP) Application Form

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Telecommunications Facilities Program (PTFP) Application Form	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:

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 %

	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

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.