Application for the Digital-to-Analog Converter Box Coupon

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DTV-1 DTV converter box data collection	Form and Instruction	New	Available
0660.EmergFocusGrp.FRN.pdf	Supplementary Document	Uploaded 2007-11-06	Available
IVR Script_v1 01.pdf	Supplementary Document	Uploaded 2007-11-01	Available
NTIA D2A CBCP Revised Webtext v 1 4.pdf	Supplementary Document	Uploaded 2007-11-01	Available
0660.coupon program.PIA.approved by cio.rtf	Supplementary Document	Uploaded 2007-08-22	Available
supporting statement consumers 110707.pdf	Supporting Statement A	Uploaded 2007-11-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181443	DTV converter box data collection	Form and Instruction	New

ICR Details

OMB Control No: 0660-0024	ICR Reference No: 200708-0660-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOC/NTIA	Agency Tracking No:
Title: Application for the Digital-to-Analog Converter Box Coupon
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: 11/07/2007
	Date Received in OIRA: 08/22/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	36 Months From Approved
Responses	110,000,000	0	0
Time Burden (Hours)	27,500,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Telecommunications and Information Administration (NTIA) is required to create a program to provide coupons for consumers to purchase digital-to-analog converter boxes. These converter boxes are necessary for consumers who wish to continue receiving broadcast programming over the air using analog-only television sets after February 17, 2009 - - the date that television stations are required by law to cease analog broadcasting. As part of this program, eligible U.S. households may obtain a maximum of two coupons of $40 each to be applied towards the purchase of a digital-to-analog converter box(es). Among other things, the Act states that households may obtain coupons by making requests pursuant to the regulations between January 1, 2008 and March 31, 2009. With respect to the collection of information, the Final Rule adopted by NTIA requires consumers to submit only that information necessary for consumers to receive the coupons via the U.S. Postal service as required by the Act. Specifically, the Final Rule requires consumers to submit the following as part of the application process: (1) name; (2) address; (3) the number of coupons required; and (4) a certification as to whether they receive cable, satellite, or other paid television service.

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Authorizing Statute(s): PL: Pub.L. 109 - 171 Title III, section 3005 Name of Law: Deficit Reduction Act of 2005
  

Citations for New Statutory Requirements: PL: Pub.L. 190 - 171 Title III, section 3005 Name of Law: Deficit Reduction Act of 2005

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 42067	07/25/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 60626	10/25/2007
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
DTV converter box data collection	DTV-1	Digital-to-Analog Television Converter Box Coupon Program Application

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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	110,000,000	0	110,000,000	0	0	0
Annual Time Burden (Hours)	27,500,000	0	27,500,000	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: This is a new information collection thus a program change.

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Annual Cost to Federal Government:

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: 08/22/2007

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