Information Collection

FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form

IC 201446 under ICR 201504-3060-018 · OMB 3060-0819.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 550 FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form Form and Instruction
FCC Form 550 Low Income Broadband Pilot Program Reimbursement Form 0819_FCC550_090412.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.400 - 54.707 47 CFR 54.410(f) 47 CFR 54.416(b) 47 CFR 54.422(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 550	Low Income Broadband Pilot Program Reimbursement Form	0819_FCC550_090412.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Previously Approved
Annual Number of Responses for this IC	168	168
Annual IC Time Burden (Hours)	420	420
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.