Incumbent 39 GHz Licensee Short-Form Application, FCC Form 175-A

Documents and Forms

Document Name Document Type
OMB 3060-XXX_FCC Form 175-A_ Incumbent 39 GHz Incumbent Licensee Short-Form Application_05162019_UPDATED FINAL TO OMB.pdf Other-Screen Shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Incumbent 39 GHz Licensee Short-Form Application, FCC Form 175-A	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			OMB 3060-XXX_FCC Form 175-A_ Incumbent 39 GHz Incumbent Licensee Short-Form Application_05162019_UPDATED FINAL TO OMB.pdf		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: 8	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.