Information Collection

Broadband Questions

IC 181505 under ICR 201105-0660-001 · OMB 0660-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0660-0021 can be found here:

Documents and Forms

Document Name Document Type
ICR 0660 0021 -July Questionnaire 4-28-11 (2).docx Other-List of Proposed Questions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Broadband Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-List of Proposed Questions			ICR 0660 0021 -July Questionnaire 4-28-11 (2).docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54,000	0	54,000
Annual IC Time Burden (Hours)	9,000	7,650	1,350
Annual IC Cost Burden (Dollars)	0	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.