Application for Connect America Fund Phase II Auction Support - FCC Form 683

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Documents and Forms

Document Name Document Type
Form FCC Form 683 Application for Connect America Fund Phase II Auction Support - FCC Form 683 Form
FCC Form 683 Connect America Fund Phase II (CAF II) Long Form FCC Form 683_Long_Form_Screenshots_053118 (FINAL TO OMB).doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Connect America Fund Phase II Auction Support - FCC Form 683	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.315 (b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 683	Connect America Fund Phase II (CAF II) Long Form	FCC Form 683_Long_Form_Screenshots_053118 (FINAL TO OMB).doc		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	2,800	2,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.