Community Anchor Institution List Form

Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs

NTIA IIJA Community Anchor Institution List Form.xlsx

NTIA IIJA Middle Mile Grant Program Application Forms

OMB: 0660-0046

Document [xlsx]
Download: xlsx | pdf

OMB Control No. 0660-XXX Expiration Date: TBD




Community Anchor Institution Name Street Address City State




























































































































Agency Disclosure Notice: This information collection is authorized by [OMB control #0660-XXXX]. Public reporting burden for this collection of information is estimated to average one (1) hour or 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Commerce, (National Telecommunications and Information Administration, 1401 Constitution Ave. NW, Washington, DC 20230). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
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