OMB control number
Reasonable Accommodation Requests, FCC Forms 5626 and 5627
OMB 3060-1246 · FCC.
OMB 3060-1246
This information, completed on FCC Form 5626 and FCC Form 5637 will be used by the OWD to process, track, and maintain the confidentiality of reasonable accommodation requests.
The latest form for Reasonable Accommodation Requests, FCC Forms 5626 and 5627 expires 2026-06-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form |
Form |
Supporting Statement A |
Form FCC Form 5627 Individuals or Households
3060-1246_final version_June 2023 (1).docx
Individuals or Households All Historical Document Collections
|
Approved without change |
Extension without change of a currently approved collection | 2023-06-22 | |
|
Approved without change |
Extension without change of a currently approved collection | 2020-07-09 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2017-08-18 |
OMB Details
Federal Government
Federal Enterprise Architecture: General Government - Central Fiscal Operations
| Form FCC Form 5626 | Reasonable Accommodation Form with Questionnaire | Fillable Fileable Signable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.