Information Collection

Connect America Challenge Process and Certifications (Business or other for profit)

IC 207150 under ICR 201310-3060-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1188 Instructions FCC Form 505_092513.doc	Instruction
FCC 505 Connect America Phase II Challenge Process Form 505 1188 FCC Form 505_092513.xls	Form

IC Title:

Connect America Challenge Process and Certifications (Business or other for profit)

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.312 47 CFR 54.313

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			1188 Instructions FCC Form 505_092513.doc		Yes	Yes	Fillable Fileable
Form	FCC 505	Connect America Phase II Challenge Process Form 505	1188 FCC Form 505_092513.xls		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160	0	103	57
Annual IC Time Burden (Hours)	1,613	480	503	630
Annual IC Cost Burden (Dollars)	0	0	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.