Information Collection

Business or other for profit

IC 239106 under ICR 202306-3060-002 · OMB 3060-1270.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1270 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 5641 Business or other for profit Form
FCC Form 5641 Annual Report, Section 1.50007 3060-1270_Info_Template 1.50007 (111021).docx Form
FCC Form 5641 Annual Report, Section 1.50007 3060-1270_Info_Template 1.50007 (111021).docx Form
FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2) 3060-1270_Info_Template 1.50004(h)(2) (111021).docx Form
FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2) 3060-1270_Info_Template 1.50004(h)(2) (111021).docx Form
FCC Form 5640 Status Updates, Section 1.50004(k) status update form (form 5640 1.50004k) 2.13.23_clean version .docx Form
FCC Form 5640 Status Updates, Section 1.50004(k) status update form (form 5640 1.50004k) 2.13.23_clean version .docx Form
FCC Form 5640 Spending Reports, Section 1.50004(l) spending report form (1.50004(I)).clean version .docx Form
FCC Form 5640 Spending Reports, Section 1.50004(l) spending report form (1.50004(I)).clean version .docx Form
FCC Form 5640 Final Certification and Updates, Section 1.50004(m) 3060-1270_Info_Template 1.50004(m) (111021).docx Form
FCC Form 5640 Final Certification and Updates, Section 1.50004(m) 3060-1270_Info_Template 1.50004(m) (111021).docx Form
FCC Form 5640 Application Request for Funding Allocation, Section 1.50 3060-1270_Info_Template 1.50004(c) (111021) (3).docx Form
FCC Form 5640 Application Request for Funding Allocation, Section 1.50 3060-1270_Info_Template 1.50004(c) (111021) (3).docx Form
FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g) 3060-1270_Info_Template 1.50004(g) (111021).docx Form
FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g) 3060-1270_Info_Template 1.50004(g) (111021).docx Form
FCC 5640 Ownership Change Notification 3060-1270_Info_Template Ownership Change NT 111721_new.docx Form
FCC 5640 Ownership Change Notification 3060-1270_Info_Template Ownership Change NT 111721_new.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Business or other for profit	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 1.50004(h)(2) 47 CFR 1.50004(d)(1) 47 CFR 1.50004(g) 47 CFR 1.50007 47 CFR 1.50004(c) 47 CFR 1.50004(k) 47 CFR 1.50004(l) 47 CFR 1.50004(j) 47 CFR 1.50004(m) 47 CFR 1.50004(n)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 5641	Annual Report, Section 1.50007	3060-1270_Info_Template 1.50007 (111021).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Individual Term Extension Request, Section 1.50004(h)(2)	3060-1270_Info_Template 1.50004(h)(2) (111021).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Status Updates, Section 1.50004(k)	status update form (form 5640 1.50004k) 2.13.23_clean version .docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Spending Reports, Section 1.50004(l)	spending report form (1.50004(I)).clean version .docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Final Certification and Updates, Section 1.50004(m)	3060-1270_Info_Template 1.50004(m) (111021).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Application Request for Funding Allocation, Section 1.50004(c)	3060-1270_Info_Template 1.50004(c) (111021) (3).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 5640	Reimbursement Claim Request, Section 1.50004(g)	3060-1270_Info_Template 1.50004(g) (111021).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC 5640	Ownership Change Notification	3060-1270_Info_Template Ownership Change NT 111721_new.docx	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,584	-3,741	10,325
Annual IC Time Burden (Hours)	20,236	-7,239	27,475
Annual IC Cost Burden (Dollars)	472,500	-652,500	1,125,000

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.