Information Collection

Section 90.20(a)(2)(v), Special Eligibility Showing for Persons with Disabilities

IC 29743 under ICR 201706-3060-007 · OMB 3060-0204.

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Information Collection (IC) Details

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IC Title:	Section 90.20(a)(2)(v), Special Eligibility Showing for Persons with Disabilities	Agency IC Tracking Number:	PSHSB

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 90.20(a)(2)(v)

Information Collection Instruments:

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

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

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