Information Collection

Post Selection Review of Broadband Experiment Winning Bidders

IC 212751 under ICR 201506-3060-004 · OMB 3060-1200.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 5620 Post Selection Review of Broadband Experiment Winning Bidders	Form and Instruction
FCC 5620 Post-Selection Review of Rural Broadband Experiment Winn 3060-1200 Form 5620 (revision) 2015 screenshots.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 5620	Post-Selection Review of Rural Broadband Experiment Winning Bidders	3060-1200 Form 5620 (revision) 2015 screenshots.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: 23

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	67	21	27	19
Annual IC Time Burden (Hours)	917	457	270	190
Annual IC Cost Burden (Dollars)	0	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.