Information Collection

Business and other for-profit

IC 197831 under ICR 202601-3060-011 · OMB 3060-1151.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 5653 Request for Rapid Broadband Assessment Team (RBAT) Review and Assessment Business and other for-profit	Form and Instruction
Form FCC Form 5653 Request for Rapid Broadband Assessment Team (RBAT) Review and Assessment Business and other for-profit	Form and Instruction
FCC Form 5653 Request for Rapid Broadband Assessment Team (RBAT) Revie FCC-5653 Request for RBAT Review and Assessment Form_508C (002) (4).pdf	Form and Instruction
FCC Form 5653 Request for Rapid Broadband Assessment Team (RBAT) Revie FCC-5653 Request for RBAT Review and Assessment Form_508C (002) (4).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 1.1416 47 CFR 1.1411 47 CFR 1.1412 47 CFR 1.1415

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 and Instruction	FCC Form 5653				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: 1,359

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	185,584	20,575	165,009
Annual IC Time Burden (Hours)	146,264	25,284	120,980
Annual IC Cost Burden (Dollars)	1,800	0	1,800

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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