Application to Participate in Rural Broadband Experiments - Government

Application to Participate in Rural Broadband Experiments and Post-Selection Review of Rural Broadband Experiment Winning Bidders.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1200 can be found here:

Documents and Forms

Document Name Document Type
Form FCC 5610 Application to Participate in Rural Broadband Experiments - Government Form and Instruction
FCC 5610 Application to Participate in Rural Broadband Experiment WCB_XXXX_Form 5610 Screenshots_080814.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application to Participate in Rural Broadband Experiments - Government	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC 5610	Application to Participate in Rural Broadband Experiments	WCB_XXXX_Form 5610 Screenshots_080814.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	75	75
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.