Request for Technical Support - Help Request Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1042 can be found here:

Documents and Forms

Document Name Document Type
1042_screenshots_031213.doc Other-screen shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Technical Support - Help Request Form	Agency IC Tracking Number:	WTB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 47 CFR 1.907

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screen shots			1042_screenshots_031213.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/WTB-7, "Remedy Action Request System (RARS)"	FR Citation: 71 FR 17234

Number of Respondents: 18,150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	18,150	18,150
Annual IC Time Burden (Hours)	2,420	2,420
Annual IC Cost Burden (Dollars)	193,600	193,600

Documents for IC

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