Connect America Fund - High Cost Portal Filing

Documents and Forms

Document Name Document Type
3060-1228 HUBB Template 2021.docx Other-HUBB Template 2021
3060-1228 HUBB Template 2021.docx Other-HUBB Template 2021

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Connect America Fund - High Cost Portal Filing	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 54.310(c) 47 CFR 54.308 47 CFR 54.316 47 CFR 54.311 47 CFR 54.320(d) 47 CFR 54.321 47 CFR 54.309 47 CFR 313 47 CFR 1506 47 CFR 1507 47 CFR 1508 47 CFR 1513 47 CFR 1514

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-HUBB Template 2021			3060-1228 HUBB Template 2021.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: 2,024	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,644	850	64	3,730
Annual IC Time Burden (Hours)	86,727	17,120	1,000	68,607
Annual IC Cost Burden (Dollars)	0	0	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.