Information Collection

Sustainable Broadband Adoption Application

IC 189808 under ICR 201001-0660-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Sustainable Broadband Adoption Application	Form and Instruction
SBA Application PRA Stmt_NTIA BTOP.docx	Other-Purpose/PRA Info Sheet
Sustainable Broadband Adoption Application SBA Application Outline 011810.final.doc	Form and Instruction

IC Title:

Sustainable Broadband Adoption Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Sustainable Broadband Adoption Application	SBA Application Outline 011810.final.doc		Yes	Yes	Fillable Fileable
Other-Purpose/PRA Info Sheet			SBA Application PRA Stmt_NTIA BTOP.docx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 382

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	588	-1,912	2,500
Annual IC Time Burden (Hours)	80,944	15,194	65,750
Annual IC Cost Burden (Dollars)	0	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.