Information Collection

Businesses or other-for profit

IC 237026 under ICR 202409-3060-003 · OMB 3060-1265.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USAC Performance Measures Module.pdf	Other-Performance Measures Module
USAC Performance Measures Module.pdf	Other-Performance Measures Module
PMM User Guide Subscriber and Performance Data Upload-R2.2.pdf	Other-PMM User Guide Subscriber and
PMM User Guide Subscriber and Performance Data Upload-R2.2.pdf	Other-PMM User Guide Subscriber and
3060-1265 Administrative Order Performance Testing Measures Template 5.26.22.docx	Other-AOPTM - Template
3060-1265 Administrative Order Performance Testing Measures Template 5.26.22.docx	Other-AOPTM - Template
3060-1265 CAF Performance Testing Measures Random Selection Interface Screenshots 5.26.22.pdf	Other-CAF PTMRSI - Screenshots
3060-1265 CAF Performance Testing Measures Random Selection Interface Screenshots 5.26.22.pdf	Other-CAF PTMRSI - Screenshots

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 54.313(a)(6) 47 CFR 54.313(j)(1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Performance Measures Module	USAC Performance Measures Module.pdf	Yes	Yes	Fillable Fileable Signable
Other-PMM User Guide Subscriber and Performance Data	PMM User Guide Subscriber and Performance Data Upload-R2.2.pdf	Yes	Yes	Fillable Fileable Signable
Other-AOPTM - Template	3060-1265 Administrative Order Performance Testing Measures Template 5.26.22.docx	Yes	Yes	Fillable Fileable Signable
Other-CAF PTMRSI - Screenshots	3060-1265 CAF Performance Testing Measures Random Selection Interface Screenshots 5.26.22.pdf	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: 1,705

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,681	3,471	14	4,196
Annual IC Time Burden (Hours)	170,620	6,070	24	164,526
Annual IC Cost Burden (Dollars)	0	0	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.