Legacy High-Cost Support Recipient Initial Report of Current Service Offerings

Documents and Forms

Document Name Document Type
Screenshots of Legacy Support Initial Report Filing Form_6-7-21 (FINAL).docx Other-Screenshots
Screenshots of Legacy Support Initial Report Filing Form_6-7-21 (FINAL).docx Other-Screenshots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Legacy High-Cost Support Recipient Initial Report of Current Service Offerings	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.323(g) and (h) 47 CFR 1.7001 and 1.7004 47 CFR 54.313(p)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			Screenshots of Legacy Support Initial Report Filing Form_6-7-21 (FINAL).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: 55	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 Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	880	880
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.