The FCC shall
ensure that the OMB/FCC developed Privacy and PRA Notice is used
with this form. The FCC should also inform filers that the TIN will
be redacted should any of these forms be made part of the public
record.
Inventory as of this Action
Requested
Previously Approved
12/31/2000
12/31/2000
01/31/1998
635,738
0
635,738
317,869
0
317,869
0
0
0
This form is required for payment of
regulatory fees and for use when paying for multiple filings with a
single payment instrument or when paying by credit card. The forms
require specific information to track payment history and to
facilitate the efficient and expeditious processing of collections
by a lockbox bank. The forms have been revised to include taxpayer
identification number, which is used for anyone who requests
services from the Agency.
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.