Information Collection

FCC Form 680

IC 201293 under ICR 201501-3060-009 · OMB 3060-1168.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1168 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 680 FCC Form 680	Form and Instruction
FCC Form 680 Application for Mobility Fund Phase I Support 20150108144135.pdf	Form and Instruction

IC Title:

FCC Form 680

Agency IC Tracking Number:

WTB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.2112, 54.1005, 54.1008 47 CFR 54.1004, 54.1007

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
Form and Instruction	FCC Form 680	Application for Mobility Fund Phase I Support	20150108144135.pdf		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: 50

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: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-75	125
Annual IC Time Burden (Hours)	75	-113	188
Annual IC Cost Burden (Dollars)	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.