Information Collection

TBCP Baseline Report Form - TAB B

IC 254103 under ICR 202206-0660-001 · OMB 0660-0047.

Documents and Forms

Document Name Document Type
Form TAB B TBCP Baseline Report Form - TAB B Form and Instruction
TAB B TAB B - TBCP Baseline Report Tribal Broadband Connectivity Program Report Forms (FINAL).xlsx Form and Instruction
TAB B TAB B - TBCP Baseline Report FINAL Tribal Broadband Connectivity Program Report v2.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TBCP Baseline Report Form - TAB B	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	TAB B	TAB B - TBCP Baseline Report	FINAL Tribal Broadband Connectivity Program Report v2.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	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	600	600
Annual IC Time Burden (Hours)	19,932	19,932
Annual IC Cost Burden (Dollars)	947,567	947,567

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.