Rural Development Broadband Program Risk Assessme

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⚠️ Notice: This information collection may be referencing outdated material.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 External Survey (003).docx Other-Survey
RD Broadband Survey Script (003).docx Other-Survey Script
RD Broadband Survey Script (003).docx Other-Survey Script
RD Broadband Programs Risk Assessment template (003).docx RD Broadband Program Template IC Document
RD Broadband Programs Risk Assessment template (003).docx RD Broadband Program Template IC Document

Information Collection (IC) Details

IC Title:	Rural Development Broadband Program Risk Assessme	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 %

	Requested	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
RD Broadband Program Template	RD Broadband Programs Risk Assessment template (003).docx	03/05/2021

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