Information Collection

Broadband Speed Test and Unavailability Registry

IC 191041 under ICR 201604-3060-012 · OMB 3060-1129.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NEW_BB_speedtest1_101909_final.PNG	Other-Screen Shot 1
NEW_BB_speedtest2_101909_final.PNG	Other-Screen Shot 2
NEW_BB_speedtest3_101909_final.PNG	Other-Screen Shot 3
NEW_BB_speedtest4_101909_final.PNG	Other-Screen Shot 4
NEW_BB_speedtest5_101909_final.PNG	Other-Screen Shot 5
1129_Broadband Speed Test_031110.mht broadbandtest.fcc.gov/qualitytest/about/	Other-Broadband Speed Test
1129_BroadbandPrivacyStatement_031110.mht broadbandtest.fcc.gov/broadband-quality-test-privacy-statement.html	Other-Privacy Statement
1129_Broadband-Dead-Zone-Report_031110.pdf	Other-Broadband Dead Zone Report

IC Title:

Agency IC Tracking Number:

OSPPA

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shot 2	NEW_BB_speedtest2_101909_final.PNG		Yes	Yes	Fillable Fileable
Other-Screen Shot 3	NEW_BB_speedtest3_101909_final.PNG		Yes	Yes	Fillable Fileable
Other-Screen Shot 4	NEW_BB_speedtest4_101909_final.PNG		Yes	Yes	Fillable Fileable
Other-Screen Shot 5	NEW_BB_speedtest5_101909_final.PNG		Yes	Yes	Fillable Fileable
Other-Broadband Speed Test	1129_Broadband Speed Test_031110.mht	http://broadbandtest.fcc.gov/qualitytest/about/	Yes	Yes	Fillable Fileable Signable
Other-Screen Shot 1	NEW_BB_speedtest1_101909_final.PNG		Yes	Yes	Fillable Fileable
Other-Privacy Statement	1129_BroadbandPrivacyStatement_031110.mht	http://broadbandtest.fcc.gov/broadband-quality-test-privacy-statement.html	Yes	Yes	Fillable Fileable Signable
Other-Broadband Dead Zone Report	1129_Broadband-Dead-Zone-Report_031110.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: FCC/OMD-27, Broadband Unavailability Survey and Broadband Quality Test

FR Citation: 74 FR 69098

Number of Respondents: 7,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,300	7,300
Annual IC Time Burden (Hours)	124	124
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.