National Tribal Broadband Summit Registration

DOI 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⚠️ Notice: This information collection may be referencing outdated material.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 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
FINAL NTBS Registration Questions - 2019.08.05.docx Other-Registration Survey
NTBS Registration Survey - 2019.08.06 (1).pdf Request for Approval w/ Hand Written Signature from Program IC Document
NTBS Registration Survey - 2019.08.06 SIGNED.pdf Request for Approval with Electronic ICCO Signatures IC Document

Information Collection (IC) Details

IC Title:	National Tribal Broadband Summit Registration	Agency IC Tracking Number:	2019-BIA-FT81

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
Other-Registration Survey			FINAL NTBS Registration Questions - 2019.08.05.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval w/ Hand Written Signature from Program	NTBS Registration Survey - 2019.08.06 (1).pdf	08/09/2019
Request for Approval with Electronic ICCO Signatures	NTBS Registration Survey - 2019.08.06 SIGNED.pdf	08/09/2019

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