Information Collection

Business or other for profit

IC 239106 under ICR 202107-3060-003 · OMB 3060-1270.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1270 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 5641 Business or other for profit	Form
Form FCC Form 5641 Annual Report, Section 1.50007 Business or other for profit	Form
Form FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2) Business or other for profit	Form
Form FCC Form 5640 Status Updates, Section 1.50004(k) Business or other for profit	Form
Form FCC Form 5640 Spending Reports, Section 1.50004(l) Business or other for profit	Form
Form FCC Form 5640 Final Certification and Updates, Section 1.50004(m) Business or other for profit	Form
Form FCC Form 5640 Application Request for Funding Allocation, Section 1.50004(c) Business or other for profit	Form
Form FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g) Business or other for profit	Form
FCC Form 5641 Annual Report, Section 1.50007 3060-1270_Info_Template 1.50007 (073021).docx	Form
FCC Form 5641 Annual Report, Section 1.50007 3060-1270_Info_Template 1.50007 (073021).docx	Form
FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2) 3060-1270_Info_Template 1.50004(h)(2) (072621).docx	Form
FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2) 3060-1270_Info_Template 1.50004(h)(2) (072621).docx	Form
FCC Form 5640 Status Updates, Section 1.50004(k) 3060-1270_Info_Template 1.50004(k) (072621).docx	Form
FCC Form 5640 Status Updates, Section 1.50004(k) 3060-1270_Info_Template 1.50004(k) (072621).docx	Form
FCC Form 5640 Spending Reports, Section 1.50004(l) 3060-1270_Info_Template 1.50004(l) (072621).docx	Form
FCC Form 5640 Spending Reports, Section 1.50004(l) 3060-1270_Info_Template 1.50004(l) (072621).docx	Form
FCC Form 5640 Final Certification and Updates, Section 1.50004(m) 3060-1270_Info_Template 1.50004(m) (072621).docx	Form
FCC Form 5640 Final Certification and Updates, Section 1.50004(m) 3060-1270_Info_Template 1.50004(m) (072621).docx	Form
FCC Form 5640 Application Request for Funding Allocation, Section 1.50 3060-1270_Info_Template 1.5004(c) (072621).docx	Form
FCC Form 5640 Application Request for Funding Allocation, Section 1.50 3060-1270_Info_Template 1.5004(c) (072621).docx	Form
FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g) 3060-1270_Info_Template 1.50004(g) (072621).docx	Form
FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g) 3060-1270_Info_Template 1.50004(g) (072621).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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.50007 47 CFR 1.50004(d)(1) 47 CFR 1.50004(g) 47 CFR 1.50004(h)(2) 47 CFR 1.50004(j) 47 CFR 1.50004(c) 47 CFR 1.50004(k) 47 CFR 1.50004(l) 47 CFR 1.50004(m) 47 CFR 1.50004(n)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 5641	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	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: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,250	7,993	2,257
Annual IC Time Burden (Hours)	27,400	20,629	6,771
Annual IC Cost Burden (Dollars)	1,125,000	1,125,000	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.

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