Information Collection

Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements

IC 205578 under ICR 202505-3060-005 · OMB 3060-1185.

Documents and Forms

Document Name Document Type
FCC Form 690 Screens_April 2019 renewal.pdf Other-Screen Shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements	Agency IC Tracking Number:	WTB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			FCC Form 690 Screens_April 2019 renewal.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32	-408	440
Annual IC Time Burden (Hours)	287	-7,650	7,937
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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