FEE REFUND PROGRAM (PHASE II) - REFUND REQUEST FORM

ICR 198412-3060-009

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
149883 Migrated
ICR Details
3060-0100 198412-3060-009
Historical Active 198212-3060-002
FCC
FEE REFUND PROGRAM (PHASE II) - REFUND REQUEST FORM
Revision of a currently approved collection   No
Regular
Approved without change 01/24/1985
Retrieve Notice of Action (NOA) 12/19/1984
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988 12/31/1984
500 0 5,000
125 0 2,500
0 0 0

THE PURPOSE OF THIS INFORMATION TO BE COLLECTED IS TO ALLOW COMMISSION LICENSEES TO APPLY FOR REFUNDS ON LICENSE FEES PREVIOUSLY PAID AND SUBSEQUENTLY FOUND TO BE UNLAWFUL BY U.S. COURT OF APPEALS, DISTRICT OF COLUMBIA CIRCUIT.

None
None


No

1
IC Title Form No. Form Name
FEE REFUND PROGRAM (PHASE II) - REFUND REQUEST FORM 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 500 5,000 0 0 -4,500 0
Annual Time Burden (Hours) 125 2,500 0 0 -2,375 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.
12/19/1984


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