SBDD Grant Program Quarterly Report Form

State Broadband Data and Development Grant Program Progress Report

Documents and Forms

Document Name Document Type
SBDD Grant Program Quarterly Report Form Form and Instruction
State Broadband Data and Development Grant Program Quart 0660.0034.Revised.PPRForm.052512.doc Form and Instruction
0660.0034.REV.CurrentandProposed Changes. SBDD Quarterly Form.0626.12.doc List of Proposed Changes with Explanation IC Document

Information Collection (IC) Details

IC Title:	SBDD Grant Program Quarterly Report Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	State Broadband Data and Development Grant Program Quarterly Report	0660.0034.Revised.PPRForm.052512.doc		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	224	224
Annual IC Time Burden (Hours)	896	896
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
List of Proposed Changes with Explanation	0660.0034.REV.CurrentandProposed Changes. SBDD Quarterly Form.0626.12.doc	07/02/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.