View Information Collection (IC)

View Information Collection (IC)

IC Title:	State, Local or Tribal Governments	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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 472 and FCC Form 474	Request for Reimbursement	3060-xxxx Cybersecurity Pilot Program (FCC Forms 472-474).12.7.23.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC Form 484	Schools and Libraries Cybersecurity Pilot Program Application	3060-xxxx Cybersecurity Pilot Program Application (FCC Form 484).12.7.23.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC Form 488	Post-Commitment Change Request Form	3060-xxxx Cybersecurity Pilot Program (FCC Form 488).12.7.23.docx		Yes	Yes	Fillable Fileable Signable

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: 11,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	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	100,550	0	100,550	0	0	0
Annual IC Time Burden (Hours)	371,950	0	371,950	0	0	0
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.