Information Collection

Section 90.20(a)(2)(v), Special Eligibility Showing for Persons with Disabilities

IC 29743 under ICR 201108-3060-002 · OMB 3060-0204.

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IC Title:

Section 90.20(a)(2)(v), Special Eligibility Showing for Persons with Disabilities

Agency IC Tracking Number:

PSHSB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 90.20(a)(2)(v)

Information Collection Instruments:

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

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: FCC/WTB-1, Wireless Services Licensing Records

FR Citation: 71 FR 17234

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	5	4	1
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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