NTIA IIJA Middle Mile Grant Program Application Forms

Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs

OMB: 0660-0046

IC ID: 252956

Information Collection (IC) Details

View Information Collection (IC)

NTIA IIJA Middle Mile Grant Program Application Forms
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Budget Narrative Form for MMG Program NTIA IIJA Budget Narrative Form for MMG Program.docx Yes Yes Fillable Fileable
Form N/A Community Anchor Institution List Form NTIA IIJA Community Anchor Institution List Form.xlsx Yes Yes Fillable Fileable
Form N/A Detailed Budget Justification for MMG Program NTIA IIJA Detailed Budget Justification for Middle Mile Program.xlsx Yes Yes Fillable Fileable
Form N/A Pro Forma Financial Projection Form NTIA IIJA Pro Forma Financial Projection Form.xlsx Yes Yes Fillable Fileable
Form N/A Table of Funded and Unfunded Collaborators NTIA IIJA Table of Funded Part. and Unfunded Collaborators.xlsx Yes Yes Fillable Fileable
Form and Instruction N/A MMG Project Questions NTIA IIJA MMG Project Questions (UPDATED).docx Yes Yes Fillable Fileable

General Government Executive Functions

 

650 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 650 0 650 0 0 0
Annual IC Time Burden (Hours) 8,450 0 8,450 0 0 0
Annual IC Cost Burden (Dollars) 366,632 0 366,632 0 0 0

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