Information Collection

Connect America Fund - High Cost Portal Filing

IC 224951 under ICR 201612-3060-022 · OMB 3060-1228.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1228 can be found here:

Documents and Forms

Document Name Document Type
HC Portal PRA Template 12_23 final.docx Other-Template - HC Portal

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Connect America Fund - High Cost Portal Filing	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.308 47 CFR 54.311 47 CFR 54.310(c) 47 CFR 54.316 47 CFR 54.320(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template - HC Portal			HC Portal PRA Template 12_23 final.docx		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: 1,526	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 Agency Discretion
Annual Number of Responses for this IC	3,595	3,595
Annual IC Time Burden (Hours)	65,713	65,713
Annual IC Cost Burden (Dollars)	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.