Information Collection

Business or other for-profit

IC 260040 under ICR 202305-3060-016 · OMB 3060-1310.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 5651 Business or other for-profit	Form
Form FCC Form 5651 Affordable Connectivity Program (ACP) Transparency Data Collection Business or other for-profit	Form
FCC Form 5651 Affordable Connectivity Program (ACP) Transparency Data ACP Transparency Data Collection Form 6.6.23.docx	Form
FCC Form 5651 Affordable Connectivity Program (ACP) Transparency Data ACP Transparency Data Collection Form 6.6.23.docx	Form

IC Title:

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.1813

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 5651				Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,755

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,755	1,755
Annual IC Time Burden (Hours)	54,405	54,405
Annual IC Cost Burden (Dollars)	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.

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