Application for Mobility Fund Phase I Support, FCC Form 680

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 680 FCC Form 680 - business respondents	Form and Instruction	New	Available
NEW_FCC680_SS_041912.doc	Supporting Statement A	Uploaded 2012-04-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201294	FCC Form 680 - state, local or tribal respondents		New
201293	FCC Form 680 - business respondents	Form and Instruction	New

ICR Details

OMB Control No: 3060-1168	ICR Reference No: 201112-3060-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: WTB
Title: Application for Mobility Fund Phase I Support, FCC Form 680
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: 04/27/2012
	Date Received in OIRA: 03/20/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved
Responses	250	0	0
Time Burden (Hours)	375	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Commission will use the information collected from winning bidders in the Mobility Fund Phase I auction to evaluate applications for Mobility Fund Phase I support. On November 18, 2011, the FCC released FCC 11-161, which adopted rules to govern the Connect America Fund Mobility Fund. In adopting the rules, the Commission provided for one-time support to immediately accelerate deployment of networks for mobile broadband services in unreserved areas. Mobility Fund Phase I support will be awarded through a nationwide reverse auction. Applicants with winning bids will provide this information to obtain the Mobility Fund Phase I support.

---

Authorizing Statute(s): US Code: 47 USC 1.2112 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 1.21004 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 54.1004 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 54.1005 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 54.1007 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AJ02	Final or interim final rulemaking	76 FR 73830	11/29/2011

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78921	12/20/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 12052	02/28/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 680 - state, local or tribal respondents
FCC Form 680 - business respondents	FCC Form 680	Application for Mobility Fund Phase I Support

---

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	250	0	0	250	0	0
Annual Time Burden (Hours)	375	0	0	375	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new collection that the Commission adopted to comprehensively reform and modernize the universal service and Intercarrier compensation systems to ensure that all Americans have access to robust, affordable broadband and advanced mobile services. For the Phase I of the Mobility Fund, the Commission provided up to $300 million in one-time support to immediately accelerate deployment of networks for mobile broadband services in unserved areas. The Commission is imposing an estimated minimal burden increase of 375 hours.

---

Annual Cost to Federal Government: $21,424

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 03/20/2012

---