Business or other for-profit

Freedom of Information/Privacy Act Request

Documents and Forms

Document Name Document Type
Screenshot - FOIA Request Form 1.png Other-FOIA Request Screenshot
Screenshot - FOIA Request Form 1.png Other-FOIA Request Screenshot
Screenshot - FOIA Request Form 2 (002).png Other-FOIA Request Form Screenshot
Screenshot - FOIA Request Form 2 (002).png Other-FOIA Request Form Screenshot
Screenshot - FOIA Request Form 3 (002).png Other-FOIA Request Form Screenshot
Screenshot - FOIA Request Form 3 (002).png Other-FOIA Request Form Screenshot

Information Collection (IC) Details

IC Title:	Business or other for-profit	Agency IC Tracking Number:	OMD

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FOIA Request Screenshot	Screenshot - FOIA Request Form 1.png	Yes	Yes	Fillable Fileable Signable
Other-FOIA Request Form Screenshot	Screenshot - FOIA Request Form 2 (002).png	Yes	Yes	Fillable Fileable Signable
Other-FOIA Request Form Screenshot	Screenshot - FOIA Request Form 3 (002).png	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/OMD-17, Freedom of Information Act (FOIA) and Privacy Act Requests	FR Citation: 81 FR 58930

Number of Respondents: 192	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 92 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	192	192
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	1,281	1,281

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.