REFUND REQUEST FORM (PHASE II)

ICR 198104-3060-100

OMB: 3060-0100

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
149881 Migrated
ICR Details
3060-0100 198104-3060-100
Historical Active
FCC
REFUND REQUEST FORM (PHASE II)
Revision of a currently approved collection   No
Regular
Approved without change 04/01/1981
Retrieve Notice of Action (NOA) 04/01/1981
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982
2,500,000 0 0
1,250,000 0 0
0 0 0

THE FCC FEE REFUND PROGRAM IS MANDATED BY THE U.S. CIRCUIT COURT OF APPEALS. FCC 199-C IS USED BY LICENSEES TO REQUEST REFUNDS OF FEES BY FCC THAT WERE ORIGINALLY $20 OR LESS. DATA COLLECTED ON FCC 199-C IS USED BY THE FCC TO DETERMINE THE PARTIES TO WHOM REFUNDS ARE DUE, RANDOMLY VERIFY AMOUNTS AND HAVE THE U.S. TREASURY ISSUE REFUND CHECKS.

None
None


No

1
IC Title Form No. Form Name
REFUND REQUEST FORM (PHASE II) FORM 199C

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500,000 0 0 0 2,500,000 0
Annual Time Burden (Hours) 1,250,000 0 0 0 1,250,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/01/1981


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