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Connect America Phase II Auction Waiver Post-Selction Review
Connect America Phase II Auction Waiver Post-Selection Review
OMB: 3060-1241
IC ID: 227297
OMB.report
FCC
OMB 3060-1241
ICR 201805-3060-012
IC 227297
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1241 can be found here:
2023-03-21 - Extension without change of a currently approved collection
2020-06-09 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FCC 5625
Connect America Phase II Auction Waiver Post-Selction Review
Form
New York Long-Form - Instructions (final).docx
Instruction
New York Long-Form - Instructions (March 2018).doc
Instruction
New York Long-Form - Instructions (May 2018).doc
Instruction
FCC 5625 Connect America Phase II New York Long Form Application
New York Long-Form - FCC Form 5625 7_17_17.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Connect America Phase II Auction Waiver Post-Selction Review
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 54.315
47 CFR 1.2002
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FCC 5625
Connect America Phase II New York Long Form Application - Main Form
New York Long-Form - FCC Form 5625 7_17_17.docx
Yes
Yes
Fillable Fileable Signable
Instruction
New York Long-Form - Instructions (final).docx
Yes
Yes
Fillable Printable
Instruction
New York Long-Form - Instructions (March 2018).doc
Yes
Yes
Fillable Printable
Instruction
New York Long-Form - Instructions (May 2018).doc
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150
0
0
0
0
150
Annual IC Time Burden (Hours)
500
0
0
0
0
500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.