Information Collection

NTIA IIJA/CAA Tribal Broadband Connectivity Program Application Forms

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.