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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.