Business or other for profit

Protecting National Security Through FCC Programs

OMB: 3060-1270

IC ID: 239106

Documents and Forms
Document Name
Document Type
Form
Other-FCC Form 5640 User Guide (Part
Other-FCC Form 5640 User Guide (Part
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Business or other for profit WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 1.50004(d)(1) 47 CFR 1.50004(h)(2) 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)

Document Type Form No. Form Name Instrument File URL 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
Other-FCC Form 5640 User Guide (Part G & C) Part G User Guide_Broadband Providers_UPDATED_10-06-2023.docx Yes Yes Fillable Fileable Signable

General Government Central Fiscal Operations

 

3,500 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,584 0 0 0 0 6,584
Annual IC Time Burden (Hours) 20,236 0 0 0 0 20,236
Annual IC Cost Burden (Dollars) 472,500 0 0 0 0 472,500

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