PWSCIF Baseline Report

Public Wireless Supply Chain Innovation Fund Grant Program Reporting

Documents and Forms

Document Name Document Type
PWSCIF Baseline Report Form and Instruction
PWSCIF Baseline Report PWSCIF BASELINE REPORT.xlsx Form and Instruction
PWSCIF Baseline Report PWSCIF BASELINE REPORT.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	PWSCIF Baseline Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	PWSCIF Baseline Report	PWSCIF BASELINE REPORT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	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: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18	-4	22
Annual IC Time Burden (Hours)	360	-80	440
Annual IC Cost Burden (Dollars)	17,633	-3,368	21,001

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.