Information Collection

Section 1.2105(c), Competitive Bidding Application and Certification Procedures; Prohibition of Collusion (state, local or tribal govts)

IC 183698 under ICR 201311-3060-004 · OMB 3060-0995.

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IC Title:	Section 1.2105(c), Competitive Bidding Application and Certification Procedures; Prohibition of Collusion (state, local or tribal govts)	Agency IC Tracking Number:	WT

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.2112 47 CFR 1.2110 47 CFR 1.2105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	0	5
Annual IC Time Burden (Hours)	25	0	25
Annual IC Cost Burden (Dollars)	4,500	1,500	3,000

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