Certification for Retailers to Accept and Redeem Coupons for the Purchase of a Digital-to-Analog Converter Box

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DTV-1 Certification for Retailers to Accept and Redeem Coupons for the Purchase of a Digital-to-Analog Converter Box	Form	Modified	Available
PIA - NTIA Coupon (6-22-06).doc	Supplementary Document	Uploaded 2006-06-22	Available
~$nal rule supporting statement retail cert rev.doc	Supporting Statement A	Uploaded 2007-04-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44328	Certification for Retailers to Accept and Redeem Coupons for the Purchase of a Digital-to-Analog Converter Box	Form	Modified

ICR Details

OMB Control No: 0660-0020	ICR Reference No: 200701-0660-005
Status: Historical Active	Previous ICR Reference No: 200607-0660-003
Agency/Subagency: DOC/NTIA	Agency Tracking No:
Title: Certification for Retailers to Accept and Redeem Coupons for the Purchase of a Digital-to-Analog Converter Box
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/26/2007
	Date Received in OIRA: 03/13/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	36 Months From Approved
Responses	4,000	0	0
Time Burden (Hours)	1,000	0	0
Cost Burden (Dollars)	75,000	0	0

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Abstract: NTIA is proposing to implement a program to provide $40 coupons to consumers for use towards the purchase of digital-to-analog converter boxes. The converter boxes are necessary for consumers who wish to receive broadcast programming over-the-air using analog-only televisions after the date that full-power stations are required to cease analog broadcasting. This information collection requires retailers to certify that they will adhere to and enforce the conditions of the coupon program.

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Authorizing Statute(s): PL: Pub.L. 109 - 170 III Name of Law: Deficit Reduction Act of 2005
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0660-AA16	Final or interim final rulemaking	72 FR 12097	03/15/2007

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Certification for Retailers to Accept and Redeem Coupons for the Purchase of a Digital-to-Analog Converter Box	DTV-1	RETAILER DATA COLLECTION FORM

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ICR Summary of Burden

table that charts list of burden

	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	4,000	0	0	4,000	0	0
Annual Time Burden (Hours)	1,000	0	0	1,000	0	0
Annual Cost Burden (Dollars)	75,000	0	0	75,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection thus no program changes or adjustments.

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Annual Cost to Federal Government: $990,000,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/13/2007

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