Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
TBCP Project Information Form	Form	New	Available
NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms	Form	New	Repair queued
Additional Questions for DE Tribal Applicants	Form	Modified	Available
Detailed Budget Justification for DE Planning Program	Form	Modified	Available
Budget Narrative Form for DE Planning Program	Form and Instruction	Modified	Available
NTIA IIJA Digital Equity Planning Program Application Forms	Form and Instruction	Modified	Repair queued
MMG Project Questions	Form and Instruction	Modified	Available
Table of Funded and Unfunded Collaborators	Form	Modified	Available
Pro Forma Financial Projection Form	Form	Modified	Available
Detailed Budget Justification for MMG Program	Form	Modified	Available
Community Anchor Institution List Form	Form	Modified	Available
Budget Narrative Form for MMG Program	Form and Instruction	Modified	Available
NTIA IIJA Middle Mile Grant Program Application Forms	Form and Instruction	Modified	Repair queued
IIJA Application_Supporting Statement (FINAL).docx	Supporting Statement A	Uploaded 2022-11-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256798	NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms	Form	New	TBCP Project Information Form
256798	NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms	Form	New
252974	NTIA IIJA Digital Equity Planning Program Application Forms	Form	Modified	Additional Questions for DE Tribal Applicants
252974	NTIA IIJA Digital Equity Planning Program Application Forms	Form	Modified	Detailed Budget Justification for DE Planning Program
252974	NTIA IIJA Digital Equity Planning Program Application Forms	Form and Instruction	Modified	Budget Narrative Form for DE Planning Program
252974	NTIA IIJA Digital Equity Planning Program Application Forms	Form and Instruction	Modified
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form and Instruction	Modified	MMG Project Questions
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form	Modified	Table of Funded and Unfunded Collaborators
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form	Modified	Pro Forma Financial Projection Form
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form	Modified	Detailed Budget Justification for MMG Program
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form	Modified	Community Anchor Institution List Form
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form and Instruction	Modified	Budget Narrative Form for MMG Program
252956	NTIA IIJA Middle Mile Grant Program Application Forms	Form and Instruction	Modified

ICR Details

OMB Control No: 0660-0046	ICR Reference No: 202211-0660-001
Status: Historical Active	Previous ICR Reference No: 202204-0660-001
Agency/Subagency: DOC/NTIA	Agency Tracking No:
Title: Infrastructure Investment and Jobs Act - Application for Broadband Grant Programs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/15/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2026	36 Months From Approved	01/31/2023
Responses	1,650	0	950
Time Burden (Hours)	14,655	0	9,650
Cost Burden (Dollars)	699,482	0	412,196

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Abstract: The National Telecommunications and Information Administration (NTIA) respectfully requests OMB’s review and renewal of a currently approved collection known as the Infrastructure Investment and Jobs Act – Application for Broadband Grant Programs. Renewal would allow the agency to continue to meet statutory deadlines and use forms that provide structured questions and guidance concerning the kind of discrete and structured data required for successful broadband grant applications. The forms create greater efficiencies within the NTIA grant program, offering applicants greater opportunities for meaningful participation in the Broadband programs than they would otherwise enjoy while lessening overall application review burdens.

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Authorizing Statute(s): Statute at Large: 134 Stat. 1182 Name of Statute: Consolidated Appropriation Act, 2021
   Statute at Large: 135 Stat. 429 Name of Statute: Infrastructure Investment and Jobs Act, 2021
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 52538	08/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 68469	11/15/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
NTIA IIJA Digital Equity Planning Program Application Forms	N/A, N/A, N/A	Budget Narrative Form for DE Planning Program ,   Detailed Budget Justification for DE Planning Program ,   Additional Questions for DE Tribal Applicants
NTIA IIJA Middle Mile Grant Program Application Forms	N/A, N/A, N/A, N/A, N/A, N/A	Budget Narrative Form for MMG Program ,   Community Anchor Institution List Form ,   Detailed Budget Justification for MMG Program ,   Pro Forma Financial Projection Form ,   Table of Funded and Unfunded Collaborators ,   MMG Project Questions
NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms	N/A	TBCP Project Information Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,650	950	0	700	0	0
Annual Time Burden (Hours)	14,655	9,650	0	5,005	0	0
Annual Cost Burden (Dollars)	699,482	412,196	0	287,286	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Changes in estimates reflect the addition of a new TBCP application form and a list of questions to be asked of Tribal applicants for the Digital Equity program. Moreover, burden estimates were adjusted to more accurately reflect form completion times and a recent upward trend in the number of applications received by the agency.

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Annual Cost to Federal Government: $995,378

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/15/2022

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