Information Collection

Business or other for-profit entities

IC 231485 under ICR 202005-3060-010 · OMB 3060-1256.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1256 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 683 Business or other for-profit entities	Form
FCC Form 683 Connect America Fund Phase II (CAF II) Long Form A903_Long_Form_6112020.docx	Form

IC Title:

Business or other for-profit entities

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 54.315 (c) 47 CFR 54.315 (b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 683	Connect America Fund Phase II (CAF II) Long Form	A903_Long_Form_6112020.docx		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: 265

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	530	400	-270	400
Annual IC Time Burden (Hours)	3,710	2,800	-1,890	2,800
Annual IC Cost Burden (Dollars)	0	0	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.