FCC Anti-Harassment Intake Form

OMB 3060-1267

OMB 3060-1267

The Commission is submitting a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The only change in the supporting statement is the substitution of the appropriate SORN which was previously approved by the Office of Management and Budget (OMB) on December 20, 2019. The record retention and similar provisions under the government-wide SORN are not significantly different from those previously reviewed and approved. Therefore, the supporting statement has been corrected to support this non-substantive change request to OMB. Also, there are no changes in the burdens and the costs remain the same for this information collection. This information, completed on FCC Form 5632, will be used by OWD and HRM to process, track, and maintain the confidentiality of Anti-Harassment Intake Form requests.

The latest form for FCC Anti-Harassment Intake Form expires 2022-12-31 and can be found here.


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