Information Collection

Application to Participate in Rural Broadband Experiments

IC 212750 under ICR 201506-3060-004 · OMB 3060-1200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 5610 Application to Participate in Rural Broadband Experiments 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 5610				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: 0

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	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

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.

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