Information Collection

Section 73.3700(e), Reimbursement Rules and Form

IC 204904 under ICR 202505-3060-006 · OMB 3060-1178.

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Information Collection (IC) Details

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IC Title:	Section 73.3700(e), Reimbursement Rules and Form	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 73.3700(e) and 73.3701

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55	-12,021	12,076
Annual IC Time Burden (Hours)	70	-22,996	23,066
Annual IC Cost Burden (Dollars)	22,500	-3,652,500	3,675,000

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