Information Collection

FCC Form 505 (business entities)

IC 207150 under ICR 201305-3060-034 · OMB 3060-1188.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NEW_FCC505Instructions_060413.docx	Instruction
FCC Form 505 Connect America Phase II Challenge Process Form NEW_FCC505_060413.xlsx	Form

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.