Information Collection

Mobility Fund Phase II Challenge Process

IC 229420 under ICR 201712-3060-009 · OMB 3060-1251.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FCC-17-11A1.docx	Other-Rulemaking
MF-II Challenge Process Certification in Challenge Process Portal_FINAL_TO OMB.pdf	Other-Screen Shot
Screenshot of MF-II CP Portal Access Request Page with PRA notice_2-7-18_FINAL TO OMB.pdf	Other-Screen Shot
MF-II Challenge Portal Instructions with PRA Notice_TO OMB.pdf	Other-Screen Shot

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shot	MF-II Challenge Process Certification in Challenge Process Portal_FINAL_TO OMB.pdf	Yes	Yes	Fillable Fileable Signable
Other-Screen Shot	Screenshot of MF-II CP Portal Access Request Page with PRA notice_2-7-18_FINAL TO OMB.pdf	Yes	Yes	Fillable Fileable Signable
Other-Screen Shot	MF-II Challenge Portal Instructions with PRA Notice_TO OMB.pdf	Yes	No	Printable Only
Other-Rulemaking	FCC-17-11A1.docx	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	39,363	39,363
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.