Digital Equity Plan Amendments Form

Application for State Digital Equity Capacity Grant Program

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Digital Equity Plan Amendments Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	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 %

	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

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.