Information Collection

Sustainable Broadband Adoption Application

IC 189808 under ICR 201004-0660-002 · OMB 0660-0031.

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:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Previously Approved
Annual Number of Responses for this IC	588	588
Annual IC Time Burden (Hours)	80,944	80,944
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.