NTIA IIJA Digital Equity Planning Program Application Forms

Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0660-0046 can be found here:

Documents and Forms

Document Name Document Type
NTIA IIJA Digital Equity Planning Program Application Forms Form and Instruction
Budget Narrative Form for DE Planning Program NTIA IIJA Budget Narrative Form for DE Planning Program.docx Form and Instruction
Budget Narrative Form for DE Planning Program NTIA IIJA Budget Narrative Form for DE Planning Program.docx Form and Instruction
Detailed Budget Justification for DE Planning Program NTIA IIJA Detailed Budget Justification for DE Planning Program.xlsx Form
Detailed Budget Justification for DE Planning Program NTIA IIJA Detailed Budget Justification for DE Planning Program.xlsx Form

Information Collection (IC) Details

IC Title:	NTIA IIJA Digital Equity Planning Program Application Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

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 DE Planning Program	NTIA IIJA Budget Narrative Form for DE Planning Program.docx		Yes	Yes	Fillable Fileable
Form	N/A	Detailed Budget Justification for DE Planning Program	NTIA IIJA Detailed Budget Justification for DE Planning Program.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	45,564	45,564

Documents for IC

Title	Document	Date Uploaded
No associated records found

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