Information Collection

Broadband Grant Program, Subpart A Community Connect - Applicants and Awardees

IC 1868 under ICR 202208-0572-005 · OMB 0572-0127.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CC_Application_Guide_FY2019_final.pdf	Other-
CCGrantAgreement_052316.pdf	Other-
CERTIFICATION OF AUTHORITY.docx	Other-

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 1739

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-	CC_Application_Guide_FY2019_final.pdf	Yes	Yes	Fillable Printable
Other-	CCGrantAgreement_052316.pdf	Yes	No	Fillable Printable
Other-	CERTIFICATION OF AUTHORITY.docx	Yes	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: USDA/RDâ1 Current or Prospective Producers or Landowners, Applicants, Borrowers, Grantees, Tenants, and other participants in RD programs

FR Citation: 84 FR 21315

Number of Respondents: 73

Number of Respondents for Small Entity: 50

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 28 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	73	-9	82
Annual IC Time Burden (Hours)	12,286	-834	13,120
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.