Rural Development Broadband Program Risk Assessment

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - Department

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Document Name Document Type
RD Broadband External Survey (003).docx Other-Survey
RD Broadband Survey Script (003).docx Other-Survey Script
RD Broadband Programs Risk Assessment template (003).docx Rural Development Broadband Programs Risk Assessment IC Document

Information Collection (IC) Details

IC Title:	Rural Development Broadband Program Risk Assessment	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			RD Broadband External Survey (003).docx		Yes	Yes	Fillable Fileable
Other-Survey Script			RD Broadband Survey Script (003).docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Rural Development Broadband Programs Risk Assessment	RD Broadband Programs Risk Assessment template (003).docx	04/02/2018

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