Information Collection

Broadband USA Workshop Feeedback

IC 221140 under ICR 201402-0690-001 · OMB 0690-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Broadband USA Workshop Feeedback	Form and Instruction
Broadband USA Workshop Feedback BBUSA_Attendee Feedback_4-20-16.docx	Form and Instruction
Broadband USA Workshop Feedback Survey BBWorkshop Customer Feedback Survey 4-20-16.pdf	Form and Instruction
BBUSAWorkshop_Fast Track Request_04-20-16.docx Broadband USA Workshop Feedback Request Form	IC Document

IC Title:

Broadband USA Workshop Feeedback

Agency IC Tracking Number:

IC Status: New

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	NA	Broadband USA Workshop Feedback	BBUSA_Attendee Feedback_4-20-16.docx		Yes	Yes	Fillable Fileable
Form and Instruction	NA	Broadband USA Workshop Feedback Survey	BBWorkshop Customer Feedback Survey 4-20-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 5

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Broadband USA Workshop Feedback Request Form	BBUSAWorkshop_Fast Track Request_04-20-16.docx	04/20/2016

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