Information Collection

Application to Participate in Rural Broadband Experiments

IC 212750 under ICR 201502-3060-019 · OMB 3060-1200.

⚠️ Notice: This information collection may be referencing outdated material.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 Form and Instruction
FCC 5610 Application to Participate in Rural Broadband Experiment FCC Form 5610 Screenshot (2015).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? Yes		IC Status: Modified

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	FCC Form 5610 Screenshot (2015).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: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
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.