Information Collection Request
Alternative Dispute Resolution Form Requests, FCC Form 5628
ICR 202405-3060-009 · OMB 3060-1258 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3060-1258 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form Alternate Dispute Federal Government |
Form | Modified | Available |
 OWD ADR SS_final version June 2024.docx |
Supporting Statement A | Uploaded 2024-06-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 268655 |  Individuals or Households |
New | ||
| 232542 | Federal Government |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | FCC |
| OMB Control No | 3060-1258 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202107-3060-005 |
| Agency Tracking No | OWD |
| Date Submitted to OIRA | 2024-06-18 |
| Requested Expiration Date | 1969-12-31 |