Information Collection

NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms

IC 256798 under ICR 202211-0660-001 · OMB 0660-0046.

Documents and Forms

Document Name Document Type
NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms Form
TBCP Project Information Form TBCP Proj Info Form.xlsx Form
TBCP Project Information Form TBCP Proj Info Form.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NTIA IIJA/CAA Tribal Broadband Connectivity 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	N/A	TBCP Project Information Form	TBCP Proj Info Form.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	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	400	400
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	19,092	19,092

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.