Information Collection

Business or other for-profit entities

IC 241738 under ICR 202304-3060-009 · OMB 3060-1274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1274 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 5634 Uniendo a Puerto Rico Fund Connect USVI Fund Stage 2 Fixed Support Application Form Business or other for-profit entities Form
Stage 2 Fixed Application Form 5634 Instructions 5.2.23.docx Instruction
FCC Form 5634 Uniendo a Puerto Rico Fund Connect USVI Fund Stage 2 Fix PR-USVI Application Form 5634 5.2.23.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Business or other for-profit entities	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 54.1505 47 CFR 54.1507

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 5634	Uniendo a Puerto Rico Fund Connect USVI Fund Stage 2 Fixed Support Application Form	PR-USVI Application Form 5634 5.2.23.docx		Yes	Yes	Fillable Fileable Signable
Instruction			Stage 2 Fixed Application Form 5634 Instructions 5.2.23.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	-15	30
Annual IC Time Burden (Hours)	810	-810	1,620
Annual IC Cost Burden (Dollars)	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.