Information Collection

Business or other for-profit

IC 247348 under ICR 202405-3060-012 · OMB 3060-1286.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 471 Business or other for-profit	Form
Form FCC Form 471 Emergency Connectivity Fund Program - Description of Services Requested and Certification Business or other for-profit	Form
Form FCC Forms 472 and Emergency Connectivity Fund Program Request for Reimbursement Business or other for-profit	Form
Form FCC Form 488 Emergency Connectivity Fund Program - Post Commitment Change Request Business or other for-profit	Form
FCC Form 471 Emergency Connectivity Fund Program - Description of Ser Extension 3060-1286 (FCC Form 471) Data Table.4.9.24.docx	Form
FCC Form 471 Emergency Connectivity Fund Program - Description of Ser Extension 3060-1286 (FCC Form 471) Data Table.4.9.24.docx	Form
FCC Forms 472 and Emergency Connectivity Fund Program Request for Reimburs Extension 3060-1286 (FCC Forms 472-474) Data Table.4.9.24.docx	Form
FCC Forms 472 and Emergency Connectivity Fund Program Request for Reimburs Extension 3060-1286 (FCC Forms 472-474) Data Table.4.9.24.docx	Form
FCC Form 488 Emergency Connectivity Fund Program - Post Commitment Ch Extension 3060-1286 (Post-Commitment Change Request Form).4.9.24.docx	Form
FCC Form 488 Emergency Connectivity Fund Program - Post Commitment Ch Extension 3060-1286 (Post-Commitment Change Request Form).4.9.24.docx	Form

IC Title:

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 54.1711(a)-(b) 47 CFR 54.1710(a)-(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 471	Yes	Yes	Fillable Fileable Signable
Form	FCC Forms 472 and 474	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 488	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: 11,500

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	66,050	66,050
Annual IC Time Burden (Hours)	157,725	157,725
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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