Information Collection

Connect America Fund - High Cost Portal Filing

IC 224951 under ICR 202001-3060-012 · OMB 3060-1228.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1228 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
3060-1228 Connect America Fund - High Cost Portal Filing PRA Template clean 5.13.19.docx	Other-HC Portal Filing PRA Template
box_1.jpg	Other-Screenshot
box_2.jpg	Other-Screenshot
box_4 (002).jpg	Other-Screenshot
box_5 (002).jpg	Other-Screenshot
box_6 (002).jpg	Other-Screenshot

IC Title:

Connect America Fund - High Cost Portal Filing

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.308 47 CFR 54.310(c) 47 CFR 54.316 47 CFR 54.311 47 CFR 54.320(d) 47 CFR 54.321

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-HC Portal Filing PRA Template	3060-1228 Connect America Fund - High Cost Portal Filing PRA Template clean 5.13.19.docx	Yes	Yes	Fillable Fileable Signable
Other-Screenshot	box_1.jpg	Yes	Yes	Fillable Fileable Signable
Other-Screenshot	box_2.jpg	Yes	Yes	Fillable Fileable Signable
Other-Screenshot	box_4 (002).jpg	Yes	Yes	Fillable Fileable Signable
Other-Screenshot	box_5 (002).jpg	Yes	Yes	Fillable Fileable Signable
Other-Screenshot	box_6 (002).jpg	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: 1,599

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	Previously Approved
Annual Number of Responses for this IC	3,730	3,730
Annual IC Time Burden (Hours)	68,607	68,607
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.