National Deaf-Blind Equipment Distribution Program

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Information Collection (IC) Details

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IC Title:	National Deaf-Blind Equipment Distribution Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.6213, 64.6215, 64.6217 47 CFR 64.6219 47 CFR 64.6207, 64.6209, 64.6211

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/CGB-3	FR Citation: 77 FR 2721

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,210	1,210
Annual IC Time Burden (Hours)	2,665	2,665
Annual IC Cost Burden (Dollars)	200	200

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.