Information Collection

Business or other for profit

IC 258122 under ICR 202301-3060-028 · OMB 3060-1317.

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Information Collection (IC) Details

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IC Title:	Business or other for profit	Agency IC Tracking Number:	PSHSB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 4.17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,725	1,725
Annual IC Time Burden (Hours)	4,575	4,575
Annual IC Cost Burden (Dollars)	0	0

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