Information Collection

FCC Form 680

IC 201293 under ICR 202312-3060-004 · OMB 3060-1168.

Documents and Forms

Document Name Document Type
Form FCC Form 680 FCC Form 680 Form and Instruction
FCC Form 680 Application for Mobility Fund Phase I Support 20150108144135.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 680	Agency IC Tracking Number:	WTB

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.21004, 54.1005, 54.1008 47 CFR 54.1004, 54.1007, 54.1006

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 680	Application for Mobility Fund Phase I Support	20150108144135.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	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.