Information Collection

Digital Equity Plan Amendments Form

IC 264366 under ICR 202401-0660-001 · OMB 0660-0054.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Digital Equity Plan Amendments Form	Form and Instruction
Digital Equity Plan Amendments Form 12.15 DRAFT_DE Capacity Application_DE Plan Amendments Description_State Terr.xlsx	Form and Instruction
Digital Equity Plan Amendments Form 12.15 DRAFT_DE Capacity Application_DE Plan Amendments Description_State Terr.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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 and Instruction	N/A	Digital Equity Plan Amendments Form	12.15 DRAFT_DE Capacity Application_DE Plan Amendments Description_State Terr.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

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	11	11
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	539	539

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.