Information Collection

SBDD Grant Program Quarterly Report Form

IC 191863 under ICR 201206-0660-002 · OMB 0660-0034.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.