Information Collection

Connect America Phase II Auction Waiver Post-Selction Review

IC 227297 under ICR 201805-3060-012 · OMB 3060-1241.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1241 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 5625 Connect America Phase II Auction Waiver Post-Selction Review	Form
New York Long-Form - Instructions (final).docx	Instruction
New York Long-Form - Instructions (March 2018).doc	Instruction
New York Long-Form - Instructions (May 2018).doc	Instruction
FCC 5625 Connect America Phase II New York Long Form Application New York Long-Form - FCC Form 5625 7_17_17.docx	Form

IC Title:

Connect America Phase II Auction Waiver Post-Selction Review

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 54.315 47 CFR 1.2002

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC 5625	Connect America Phase II New York Long Form Application - Main Form	New York Long-Form - FCC Form 5625 7_17_17.docx	Yes	Yes	Fillable Fileable Signable
Instruction			New York Long-Form - Instructions (final).docx	Yes	Yes	Fillable Printable
Instruction			New York Long-Form - Instructions (March 2018).doc	Yes	Yes	Fillable Printable
Instruction			New York Long-Form - Instructions (May 2018).doc	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	500	500
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.