Information Collection

DE Capacity for Native Entities - Consortium Members Form

IC 270249 under ICR 202408-0660-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DE Capacity for Native Entities - Consortium Members Form	Form and Instruction
Digital Equity Capacity Grant Program for Native Entitie 4 - DE Capacity NE Consortium Members Form_.xlsx	Form and Instruction
Digital Equity Capacity Grant Program for Native Entitie 4 - DE Capacity NE Consortium Members Form_.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 Capacity Grant Program for Native Entities - Consortium Members Form	4 - DE Capacity NE Consortium Members 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: 15

Number of Respondents for Small Entity: 15

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	15	15
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	3,026	3,026

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.