Information Collection

National Broadband Plan Survey for Businesses

IC 191167 under ICR 201002-3060-003 · OMB 3060-1130.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NEW_BBSurveyforBusiness_110209.doc	Other-Telephone Survey
NEW_BB_BusinessSurveyQQ_FINAL_111709.doc	Other-Revised telephone survey

IC Title:

Agency IC Tracking Number:

OSP

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
Other-Telephone Survey			NEW_BBSurveyforBusiness_110209.doc		No		Fillable Printable
Other-Revised telephone survey			NEW_BB_BusinessSurveyQQ_FINAL_111709.doc		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: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	2,770	2,770
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.