Broadband Initiatives - State, Local & Tribal Governments

Broadband Initiatives Program

Documents and Forms

Document Name Document Type
Other - No forms- IC.docx www.broadbandusa.gov Other-various formats

Information Collection (IC) Details

IC Title:	Broadband Initiatives - State, Local & Tribal Governments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-various formats			Other - No forms- IC.docx	www.broadbandusa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	236	236
Annual IC Time Burden (Hours)	1,457	1,457
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.