Information Collection

Procedures for Formal Complaints - Individuals or Household

IC 198530 under ICR 202605-3060-005 · OMB 3060-0411.

Documents and Forms

Document Name Document Type
Form FCC Form 485 COMPLAINT INTAKE FORM Procedures for Formal Complaints - Individuals or Household Form and Instruction
FCC Form 485 COMPLAINT INTAKE FORM 485.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Procedures for Formal Complaints - Individuals or Household	Agency IC Tracking Number:	EB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 20.12 (e), 64.6217(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 485	COMPLAINT INTAKE FORM	485.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: FCC/EB-5, "Enforcement Bureau Activity Tracking System (EBATS)"	FR Citation: 88 FR 72071

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	0	2
Annual IC Time Burden (Hours)	72	15	57
Annual IC Cost Burden (Dollars)	19,655	4,351	15,304

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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