Information Collection

Broadband-Match Web Site Tool

IC 191487 under ICR 200912-0660-001 · OMB 0660-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0660-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Broadband-Match.Layout.1.pdf	Other-Process Chart
Sample Screen.Broadband-Match.NLDhomepage3A.JPG Sample Screen Shot	IC Document
Sample Screen.Broadband-Match.NLD.teacher3A (4).JPG Sample Screen Shot	IC Document
Sample Screen.Broadband-Match.NLD.volunteer3A (3).JPG Sample Screen Shot	IC Document

IC Title:

Broadband-Match Web Site Tool

Agency IC Tracking Number:

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-Process Chart			Broadband-Match.Layout.1.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,125	1,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample Screen Shot	Sample Screen.Broadband-Match.NLDhomepage3A.JPG	12/03/2009
Sample Screen Shot	Sample Screen.Broadband-Match.NLD.teacher3A (4).JPG	12/03/2009
Sample Screen Shot	Sample Screen.Broadband-Match.NLD.volunteer3A (3).JPG	12/03/2009

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