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Individuals or Households - Special Eligibility Showing for Persons with Disabilities
Section 90.20(a)(2)(v) and 90.20(a)(2)(xi), Special Eligibility Showings for Authorizations in the Public Safety Pool
OMB: 3060-0204
IC ID: 29743
OMB.report
FCC
OMB 3060-0204
ICR 202004-3060-039
IC 29743
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0204 can be found here:
2023-05-11 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Individuals or Households - Special Eligibility Showing for Persons with Disabilities
Agency IC Tracking Number:
PSHSB
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
47 CFR 90.20(a)(2)(v)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Emergency Response
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
20
0
0
0
0
20
Annual IC Time Burden (Hours)
5
0
0
0
0
5
Annual IC Cost Burden (Dollars)
0
0
0
0
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.