Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624

Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624

OMB: 3060-1230

IC ID: 226377

Documents and Forms
Document Name
Document Type
Other-Screenshot: PSIX Complaint Sub
Information Collection (IC) Details

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Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624 EB
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Screenshot: PSIX Complaint Submission 1230.PSIX Complaint Submission Narrative Screenshots_revised(4.30.20).docx Yes Yes Fillable Fileable Signable

General Government Central Fiscal Operations

 

333 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 333 0 0 -167 0 500
Annual IC Time Burden (Hours) 166 0 0 -84 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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