State, Local and Tribal Governments

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

LIVE TEST SURVEY – OVERALL

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

LIVE TEST SURVEY – PULL-DOWN MENUS

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

OMB Control No. 3060-[XXXX]
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2019/2020]

We have estimated that your response to this collection of information will take 15 minutes or
0.25 hours. Our estimate includes the time to read the instructions, look through existing
records, gather and maintain required data, and actually complete and review the form or
response. If you have any comments on this estimate, or on how we can improve the
collection and reduce the burden it causes you, please write the Federal Communications
Commission, Office of Managing Director, AMD PERM, Washington, DC 20554, Paperwork
Reduction Act Project (3060 XXXX). We will also accept your PRA comments via the
Internet if you send an e-mail to [email protected].
Please DO NOT SEND COMPLETED SURVEYS TO THIS ADDRESS. You are not required
to respond to a collection of information sponsored by the Federal government, and the
government may not conduct or sponsor this collection, unless it displays a currently valid
OMB control number and/or we fail to provide you with this notice. This collection has been
assigned an OMB control number of 3060 XXXX.
THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995,
PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.