Business or other for-profit

Emergency Connectivity Fund Program

OMB: 3060-1286

IC ID: 247348

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 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

General Government Central Fiscal Operations


11,500 0
Private Sector Businesses or other for-profits, Not-for-profit institutions
   100 %

  Requested 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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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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