Individuals or Households

Volunteer Service Agreement Form

OMB: 3060-1298

IC ID: 251168

Information Collection (IC) Details

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Individuals or Households OMD-IO
No Unchanged
47 CFR 2635 47 CFR 19.735-203

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FCC Form A-384 Volunteer Service Agreement A-384-Volunteer Service Agreement new version January 2022 FINAL revised May 18 CLEAN.docx Yes Yes Fillable Printable

General Government Central Fiscal Operations

OPM/GOVT-1  77 FR 73694

140 0
Individuals or Households
   100 %

  Approved 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 140 0 0 115 0 25
Annual IC Time Burden (Hours) 35 0 0 29 0 6
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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