Business or other for-profit

Emergency Connectivity Fund Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1286 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 471 Business or other for-profit Form
FCC Form 471 Emergency Connectivity Fund Program - Description of Ser 3060-1286 (FCC Form 471) Data Table_final version.docx Form
FCC Form 471 Emergency Connectivity Fund Program - Description of Ser 3060-1286 (FCC Form 471) Data Table_final version.docx Form
FCC Forms 472 and Emergency Connectivity Fund Program Request for Reimburs 3060-1286 (FCC Forms 472-474) Data Table_final version .docx Form
FCC Forms 472 and Emergency Connectivity Fund Program Request for Reimburs 3060-1286 (FCC Forms 472-474) Data Table_final version .docx Form
FCC Forms 471 and Emergency Connectivity Fund Program Post-Commitment Chan 3060-1286 (Post-Commitment Change Request) Data Table_final version .docx Form
FCC Forms 471 and Emergency Connectivity Fund Program Post-Commitment Chan 3060-1286 (Post-Commitment Change Request) Data Table_final version .docx Form

Information Collection (IC) Details

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 54.1710(a)-(b) 47 CFR 54.1711(a)-(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 471	Emergency Connectivity Fund Program - Description of Services Requested and Certification	3060-1286 (FCC Form 471) Data Table_final version.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Forms 472 and 474	Emergency Connectivity Fund Program Request for Reimbursement	3060-1286 (FCC Forms 472-474) Data Table_final version .docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Forms 471 and 500	Emergency Connectivity Fund Program Post-Commitment Change Request	3060-1286 (Post-Commitment Change Request) Data Table_final version .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: 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	Previously Approved
Annual Number of Responses for this IC	66,050	66,050
Annual IC Time Burden (Hours)	157,725	157,725
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.