Business or other for-profit

Establishing the Emergency Connectivity Fund Program

OMB: 3060-1286

IC ID: 247348

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

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Business or other for-profit WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.1710(a)-(b) 47 CFR 54.1711(a)-(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FCC Form 471 Emergency Connectivity Fund - Description of Services Requested and Certification 3060-xxxx FCC 21-58 Emergency Connectivity Fund FCC Form 471 (5.12.2021).docx Yes Yes Fillable Fileable Signable
Form FCC Forms 472 and 474 Emergency Connectivity Fund Program Request for Reimbursement 3060-xxxx FCC 21-58 Emergency Connectivity Fund Request for Reimbursement (FCC Forms 472-474) (5.12.2021).docx Yes Yes Fillable Fileable Signable
Form FCC Forms 471 and 500 Emergency Connectivity Fund Post-Commitment Change Request 3060-xxxx FCC 21-58 Emergency Connectivity Fund Post-Commitment Change Request (5.12.2021) FCC Forms 471 and 500.docx Yes Yes Fillable Fileable Signable

General Government Central Fiscal Operations

 

11,500 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 0 0 0 66,050
Annual IC Time Burden (Hours) 157,725 0 0 0 0 157,725
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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