Information Collection

Procedures for Formal Complaints - State, Local, or Tribal Governments

IC 192736 under ICR 201711-3060-005 · OMB 3060-0411.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0411 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 485 Section 208 Formal Complaint Intake Form Procedures for Formal Complaints - State, Local, or Tribal Governments	Form and Instruction
FCC 485 Section 208 Formal Complaint Intake Form FCC 485 word version stylistic (final version).docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Procedures for Formal Complaints - State, Local, or Tribal Governments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.728 47 CFR 1.730 47 CFR 1.733 47 CFR 1.723 47 CFR 1.731 47 CFR 1.732 47 CFR 1.727 47 CFR 1.734 47 CFR 1.722 47 CFR 1.726 47 CFR 1.729 47 CFR 1.735 47 CFR 1.725 47 CFR 1.721 47 CFR 1.720 47 CFR 1.724 47 CFR 1.736

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 485	Section 208 Formal Complaint Intake Form	FCC 485 word version stylistic (final version).docx		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: FCC/EB-5, "Enforcement Bureau Activity Tracking System" (EBATS)

FR Citation: 75 FR 77872

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-10	30
Annual IC Time Burden (Hours)	485	350	135
Annual IC Cost Burden (Dollars)	118,914	-65,876	184,790

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.