| US Department of Commerce - NTIA |
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OMB No. |
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Broadband Technology Opportunities Program |
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| SUMMARY OF INFORMATION COLLECTION |
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Date Prepared |
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July-09 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
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| recordkeeping requirements. |
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> |
(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
| REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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Loan Application Submission through Broadband Portal, Step 1 |
n/a |
1,500 |
1 |
1,500 |
225.00 |
337,500 |
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Verification Filing Documents, Step 2 |
n/a |
150 |
1 |
150 |
170.00 |
25,500 |
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Preparation of Grant Documents |
n/a |
150 |
1 |
150 |
24.00 |
3,600 |
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Recipient Reporting in Accordance with 2 CFR 176 |
n/a |
150 |
1 |
150 |
1.0 |
150 |
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Selection of CPA |
n/a |
150 |
1 |
150 |
0.25 |
38 |
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Submission of Auditor's Report |
n/a |
150 |
1 |
150 |
11.0 |
1,650 |
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Plan of Corrective Action |
n/a |
8 |
1 |
8 |
0.25 |
2 |
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Submission of Peer Review Reports |
n/a |
150 |
1 |
150 |
0.25 |
38 |
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Scope Limitation |
n/a |
1 |
1 |
1 |
0.25 |
0 |
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Irregularities |
n/a |
5 |
1 |
5 |
2.00 |
10 |
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Submission of Financial Information |
n/a |
150 |
4 |
600 |
4.00 |
2,400 |
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Index of Records and Recordkeeping |
n/a |
150 |
1 |
150 |
2.00 |
300 |
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System of Accounts |
n/a |
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150 |
24 |
3,600 |
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TOTALS |
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1,500 |
2.11 |
3,164 |
117.32 |
371,187 |
150 |
371,337 |
3,600 |
| RUS Form 36 (07-91) |
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