Connect America Challenge Process and Certifications (State, local or tribal Government)

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⚠️ Notice: This information collection may be referencing outdated material.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
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

Information Collection (IC) Details

IC Title:	Connect America Challenge Process and Certifications (State, local or tribal Government)	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:

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: 9	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9	0	-47	56
Annual IC Time Burden (Hours)	90	27	-567	630
Annual IC Cost Burden (Dollars)	0	0	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.