Information Collection

TV White Space Broadcast Bands

IC 198505 under ICR 201110-3060-013 · OMB 3060-1155.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1155 can be found here:

Documents and Forms

Document Name Document Type
Screen Shots Registration Form for Unlicensed Wireless Microphone (and other Auxiliary Low Power Device) Venue Registration.pdf Other-Screen Shots of Registration F
1155_screenshots_101411.pdf Other-Screen Shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TV White Space Broadcast Bands	Agency IC Tracking Number:	WT

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 15.713, 15.714 47 CFR 15.715, 15.717

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots of Registration Form			Screen Shots Registration Form for Unlicensed Wireless Microphone (and other Auxiliary Low Power Device) Venue Registration.pdf		Yes	Yes	Fillable Fileable Signable
Other-Screen Shots			1155_screenshots_101411.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	100,000	100,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.