Broadband USA Workshop Feeedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
Broadband USA Workshop Feeedback Form and Instruction
Broadband USA Workshop Feedback BBUSA_Attendee Feedback_4-20-16.docx Form and Instruction
Broadband USA Workshop Feedback Survey BBWorkshop Customer Feedback Survey 4-20-16.pdf Form and Instruction
BBUSAWorkshop_Fast Track Request_04-20-16.docx Broadband USA Workshop Feedback Request Form IC Document

Information Collection (IC) Details

IC Title:	Broadband USA Workshop Feeedback	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	NA	Broadband USA Workshop Feedback	BBUSA_Attendee Feedback_4-20-16.docx		Yes	Yes	Fillable Fileable
Form and Instruction	NA	Broadband USA Workshop Feedback Survey	BBWorkshop Customer Feedback Survey 4-20-16.pdf		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 5

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	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Broadband USA Workshop Feedback Request Form	BBUSAWorkshop_Fast Track Request_04-20-16.docx	04/20/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.