Business or other for-profit entities

Application for the Uniendo a Puerto Rico Fund and the Connect USVI Fund Stage 2 Fixed Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1274 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 5634 Business or other for-profit entities Form
Stage 2 Fixed Application Form 5634 Instructions 05.18.2020_final.docx Instruction
FCC Form 5634 Uniendo a Puerto Rico Fund Connect USVI Fund Stage 2 Fix PR-USVI Application Form 5634 2.28.2020_final version .docx Form

Information Collection (IC) Details

IC Title:	Business or other for-profit entities	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.1505 47 CFR 54.1507 47 CFR 54.1508 47 CFR 54.1515

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 5634	Uniendo a Puerto Rico Fund Connect USVI Fund Stage 2 Fixed Support Application Form	PR-USVI Application Form 5634 2.28.2020_final version .docx		Yes	Yes	Fillable Fileable Signable
Instruction			Stage 2 Fixed Application Form 5634 Instructions 05.18.2020_final.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1,620	1,620
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.