Information Collection

Business or other for-profit

IC 30906 under ICR 202509-3060-003 · OMB 3060-0770.

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Information Collection (IC) Details

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IC Title:	Business or other for-profit	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 61.49 47 CFR 69.4

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 Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-12	13
Annual IC Time Burden (Hours)	30	-100	130
Annual IC Cost Burden (Dollars)	1,040	-11,050	12,090

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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