Information Collection

Broadband Grant Program, Subpart A Community Connect - Awardees

IC 208835 under ICR 202208-0572-005 · OMB 0572-0127.

Documents and Forms

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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 7 CFR 1739, subpart A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-					Yes	No	Printable Only
Other-					Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-13	13
Annual IC Time Burden (Hours)	-260	260
Annual IC Cost Burden (Dollars)	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.

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