FCC Form 505 (business entities)

Connect America Challenge Process and Certifications, FCC Form 505

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1188 can be found here:

Documents and Forms

Document Name Document Type
NEW_FCC505Instructions_060413.docx Instruction
FCC Form 505 Connect America Phase II Challenge Process Form NEW_FCC505_060413.xlsx Form

Information Collection (IC) Details

IC Title:	FCC Form 505 (business entities)	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 0.459 47 CFR 1.4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			NEW_FCC505Instructions_060413.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC Form 505	Connect America Phase II Challenge Process Form	NEW_FCC505_060413.xlsx		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	630	630
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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