Information Collection

Rural Broadband Access Loan & Loan Guarantee Application

IC 1872 under ICR 201812-0572-001 · OMB 0572-0130.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Other- IC non-form statement.docx Non-form statement	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1738

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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	73	50	23
Annual IC Time Burden (Hours)	7,305	5,210	2,095
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Non-form statement		01/28/2019

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

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