Information Collection

Proposed Funded Service Area Process-PNF/PNR

IC 190814 under ICR 201004-0660-002 · OMB 0660-0031.

Documents and Forms

Documents and forms in this information collection
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

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	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 %

table that charts list of burden
	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

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.