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Business or other for-profit
Establishing the Emergency Connectivity Fund Program
OMB: 3060-1286
IC ID: 247348
OMB.report
FCC
OMB 3060-1286
ICR 202105-3060-007
IC 247348
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1286 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-12-07 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FCC Form 471
Business or other for-profit
Form
3060-xxxx FCC 21-58 Emergency Connectivity Fund Request for Reimbursement (FCC Forms 472-474) (5.12.2021).docx
Other-Screenshot - Request for Reimb
3060-xxxx FCC 21-58 Emergency Connectivity Fund Request for Reimbursement (FCC Forms 472-474) (5.12.2021).docx
Other-Screenshot - Request for Reimb
3060-xxxx FCC 21-58 Emergency Connectivity Fund Post-Commitment Change Request (5.12.2021).docx
Other-Screenshot - Post Commitment C
3060-xxxx FCC 21-58 Emergency Connectivity Fund Post-Commitment Change Request (5.12.2021).docx
Other-Screenshot - Post Commitment C
FCC Form 471 Description of Services Requested and Certification ECF
3060-xxxx FCC 21-58 Emergency Connectivity Fund FCC Form 471 (5.12.2021).docx
Form
FCC Form 471 Description of Services Requested and Certification ECF
3060-xxxx FCC 21-58 Emergency Connectivity Fund FCC Form 471 (5.12.2021).docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Business or other for-profit
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 54.1710(a)-(b)
47 CFR 54.1711(a)-(b)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FCC Form 471
Description of Services Requested and Certification ECF
3060-xxxx FCC 21-58 Emergency Connectivity Fund FCC Form 471 (5.12.2021).docx
Yes
Yes
Fillable Fileable Signable
Other-Screenshot - Request for Reimbursement (ECF)
3060-xxxx FCC 21-58 Emergency Connectivity Fund Request for Reimbursement (FCC Forms 472-474) (5.12.2021).docx
Yes
Yes
Fillable Fileable Signable
Other-Screenshot - Post Commitment Change Request (ECF)
3060-xxxx FCC 21-58 Emergency Connectivity Fund Post-Commitment Change Request (5.12.2021).docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
11,500
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 %
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
66,050
0
66,050
0
0
0
Annual IC Time Burden (Hours)
157,725
0
157,725
0
0
0
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.