Information Collection

State, Local or Tribal Government

IC 231486 under ICR 202501-3060-007 · OMB 3060-1256.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1256 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 683 State, Local or Tribal Government	Form
Form FCC Form 683 Rural Digital Opportunity Fund Long Form State, Local or Tribal Government	Form
Letter of Credit new certification language 2025.docx	Other-Letter of Credit new certifica
Letter of Credit new certification language 2025.docx	Other-Letter of Credit new certifica
FCC Form 683 Rural Digital Opportunity Fund Long Form A904_Long_Form_06112020.docx	Form
FCC Form 683 Rural Digital Opportunity Fund Long Form A904_Long_Form_06112020.docx	Form

IC Title:

State, Local or Tribal Government

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 54.804 (b) 47 CFR 54.804 (c)

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
Form	FCC Form 683				Yes	Yes	Fillable Fileable Signable
Other-Letter of Credit new certification Language					Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 265

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	465	465
Annual IC Time Burden (Hours)	2,930	2,930
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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