Information Collection

Legacy High-Cost Support Recipient Initial Report of Current Service Offerings

IC 247775 under ICR 202406-3060-009 · OMB 3060-1291.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Updated Screenshots of Legacy Support Initial Report Filing Form_3-25-24_.pdf	Other-Screenshots
Updated Screenshots of Legacy Support Initial Report Filing Form_3-25-24_.pdf	Other-Screenshots

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.323(g) and (h) 47 CFR 1.7001 and 1.7004 47 CFR 54.313(p)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots					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: 55

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	55	55
Annual IC Time Burden (Hours)	880	880
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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