State, Local and Tribal Governments

OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

LIVE TEST SURVEY – OVERALL

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

OMB Notice
We have estimated that your response to this collection of information will take 15 minutes or .25
hours. Our estimate includes the time to read the instructions, look through existing records, gather
and maintain required data, and actually complete and review the form or response. If you have any
comments on this estimate, or on how we can improve the collection and reduce the burden it
causes you, please write the Federal Communications Commission, Office of Managing Director,
AMD PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060 1269). We will also
accept your PRA comments via the Internet if you send an e-mail to PRA@fcc.gov.

Please DO NOT SEND COMPLETED SURVEYS TO THIS ADDRESS. You are not required to
respond to a collection of information sponsored by the Federal government, and the government
may not conduct or sponsor this collection, unless it displays a currently valid OMB control number
and/or we fail to provide you with this notice. This collection has been assigned an OMB control
number of 3060-1269.

THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW
104-13, OCTOBER 1 1995, 44 U.S.C SECTION 3507.

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

LIVE TEST SURVEY – PULL-DOWN MENUS

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

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OMB Control No. 3060-1269
Estimated time per response: 0.25 hours
Edition Date – [Month approved] [2020]

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