Proposed Funded Service Area Process-PNF/PNR

BTOP-Comprehensive Community Infrastructure, Public Computer Center, and Sustainable Broadband Adoption Applications Requirements

Documents and Forms

Document Name Document Type
Proposed Funded Service Area Process-PNF/PNR Form and Instruction
Broadband Service Provider Response Template Service Proivder Response Template 03 31 10 (2).xls www.broadband usa.gov Form and Instruction

Information Collection (IC) Details

IC Title:	Proposed Funded Service Area Process-PNF/PNR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Broadband Service Provider Response Template	Service Proivder Response Template 03 31 10 (2).xls	http://www.broadband usa.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	22,500	22,500
Annual IC Cost Burden (Dollars)	0	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.