Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship

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IC Title:	Requests for Waivers of Regulatory and Application Fees Predicated on Allegations of Financial Hardship	Agency IC Tracking Number:	Office of Managing Director, Financial Operations

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.1117 47 CFR 1.1166

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	240	0	240
Annual IC Time Burden (Hours)	240	0	240
Annual IC Cost Burden (Dollars)	0	-4,000	4,000

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