OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for Rural Libraries, Technical Assistance, and Satellite Grants

IC 192612 under ICR 201004-0572-002 · OMB 0572-0145.

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Information Collection (IC) Details

View Information Collection (IC)

Application for Rural Libraries, Technical Assistance, and Satellite Grants
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Technical Assistance Application Form BIP TA Grant Application Form.doc www.broadbandusda.gov Yes No Fillable Printable
Form n/a Satellite Application Form General Application Information Form.doc www.broadbandusa.gov Yes No Fillable Printable
Form n/a Rural Library Application Form Rural Library App.docx www.broadbandusa.gov Yes No Fillable Printable

Economic Development Business and Industry Development

 

134 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 374 374 0 0 0 0
Annual IC Time Burden (Hours) 8,427 8,427 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
BIP TA Program Application Guide BIP TA Prgm App Guide.docx 04/19/2010
Rural Library Application Guide Rural Library Broadband Application Guide.doc 04/19/2010
Rural Library Attachment A Library Attachment A - Additional Co-Applicant Information.doc 04/19/2010
Rural Library Attachment C Library Attachment C - Listing of Rural Libraries.xls 04/19/2010
Rural Library Attachment D Library Attachment D - Certification Regarding Availability of Broadband Service and Community Facilities Funding.docx 04/19/2010
Rural Library Attachment E Library Attachment E - Detailed Project Budget.xls 04/19/2010
Rural Library Attachment G Library Attachment G - Environmental Questionnaire.doc 04/19/2010
Rural Library Attachment H Library Attachment H - Equal Opportunity and Nondiscrimination Certification.pdf 04/19/2010
Rural Library Attachment B Library Attachment B - Executive Summary.doc 04/19/2010
Rural Library Attachment F Library Attachment F - Project Buildout Timeline & Key Milestones.xls 04/19/2010
Rural Library Attachment K Library Attachment K - Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions.pdf 04/19/2010
Rural Library Attachment I Library Attachment I - Certification Regarding Architectural Barriers.pdf 04/19/2010
Rural Library Attachment J Library Attachment J - Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Certification.pdf 04/19/2010
TA Attachment A TA Attachment A - Additional Co-Applicant Information.doc 04/19/2010
TA Attachment B TA Attachment B - Detailed Project Budget.xls 04/19/2010
TA Attachment C TA Attachment C - Project Timeline & Key Milestones.xls 04/19/2010
TA Attachment D TA Attachment D - Equal Opportunity and Nondiscrimination Certification.pdf 04/19/2010
TA Attachment E TA Attachment E - Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions.pdf 04/19/2010
TA Attachment F TA Attachment F - Certification Regarding Lobbying for Contracts, Grants, Loans, and Cooperative Agreements.pdf 04/19/2010
Satellilte Attachment A Satellite Attachment A - Additional Co-Applicant Information.doc 04/19/2010
Satellite Attachment B Satellite Attachment B - Executive Summary.doc 04/19/2010
Satellite Attachment C Satellite Attachment C - Service Provisions.doc 04/19/2010
Satellite Attachment D Satellite Attachment D - Service Offerings.xls 04/19/2010
Satellite Attachment F Satellite Attachment F - Organizatinoal Readiness.doc 04/19/2010
Satellite Attachment E Satellite Attachment E - Management Team Resumes.doc 04/19/2010
Satellite Attachment G Satellite Attachment G � Organizational Chart.doc 04/19/2010
Satellite Attachment H Satellite Attachment H - Subscriber Projections.xls 04/19/2010
Satellite Attachment I Satellite Attachment I - Pro Forma 5-Year Financial Forecast.xls 04/19/2010
Satellite Attachment J Satellite Attachment J � Commitment of Capital Funding Support.doc 04/19/2010
Satellite Attachment K Satellite Attachment K - Schedule of Debt and Equity Funding.xls 04/19/2010
Satellite Attachment L Satellite Attachment L - Service Metrics.doc 04/19/2010
Satellite Attachment M Satellite Attachment M - Project Build-Out Timeline and Key Milestones.xls 04/19/2010
Satellite Attachment N Satellite Attachment N - Equal Opportunity and Nondiscrimination Certification.pdf 04/19/2010
Satellite Attachment O Satellite Attachment O - Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions.pdf 04/19/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.