Legacy High-Cost Support Usage Flexibility Certification

Legacy High-Cost Support Usage Flexibility Certification

OMB:

IC ID: 247087

Information Collection (IC) Details

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Legacy High-Cost Support Usage Flexibility Certification
 
No New
 
Required to Obtain or Retain Benefits
 
47 CFR 54.322(c)(4)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Certification Form Legacy High-Cost Support Usage Flexibility Certification Legacy Support Usage Flexibility Certification_rev 2-8-21 (FINAL).pdf Yes Yes Fillable Fileable Signable

General Government Central Fiscal Operations

 

55 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 55 0 55 0 0 0
Annual IC Time Burden (Hours) 96 0 96 0 0 0
Annual IC Cost Burden (Dollars) 8,250 0 8,250 0 0 0

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