Structure and Practices of the Video Relay Service Program, Second Report and Order, CG Docket No. 10-51

Forms and Documents

Document	Type	Status	Availability
Supporting Statement OMB 3060-1150 (consolidated with 3060-1160) 2012.doc	Supporting Statement A	Uploaded 2012-05-16	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
197537	Video Relay Service Program		Modified

ICR Details

OMB Control No: 3060-1150	ICR Reference No: 201205-3060-011
Status: Historical Active	Previous ICR Reference No: 201108-3060-006
Agency/Subagency: FCC	Agency Tracking No: CGB
Title: Structure and Practices of the Video Relay Service Program, Second Report and Order, CG Docket No. 10-51
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/21/2012
	Date Received in OIRA: 05/16/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	10/31/2014
Responses	89	0	54
Time Burden (Hours)	934	0	900
Cost Burden (Dollars)	0	0	0

---

Abstract: The Commission is consolidating information collection requirements that are currently contained under OMB Control Number 3060-1160 (Structure and Practices of the Video Relay Service Program; Second Report and Order and Order, CG Docket No. 10-51) into OMB Control Number 3060-1150 (Structure and Practices of the Video Relay Service Program; Second Report and Order, CG Docket No. 10-51). The Commission will submit a Discontinuation Form to the Office of Management and Budget (OMB) to discontinue information collection 3060-1160 once it receives OMB approval for this information collection (3060-1150) which is being revised due to the consolidation of both collections.

---

Authorizing Statute(s): US Code: 47 USC 225 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:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 14519	03/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 28876	05/16/2012
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Video Relay Service Program

---

ICR Summary 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	89	54	0	0	35	0
Annual Time Burden (Hours)	934	900	0	0	34	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: There are adjustments to the total annual number of respondents, total annual number of responses and total annual burden hours which are due to the consolidation of the information collection requirements currently approved under OMB Control Number 3060-1060 (Structure and Practices of the Video Relay Service Program; Second Report and Order and Order, CG Docket No. 10-51) into OMB Control Number 3060-1150 (Structure and Practices of the Video Relay Service Program; Second Report and Order, CG Docket No. 10-51). These adjustments are also due to the re-evaluation of certain information collection requirements. There are no program changes to this information collection. Because of the consolidation of information collection 3060-1160 into collection 3060-1150 and the re-evaluation of certain burdens for the information collection requirements, the OMB inventory should now reflect the following burdens: annual number of respondents increased by +17, from 11 respondents to 28 number of respondents; annual number of responses increased by +35, from 54 responses to 89 annual number of responses, and annual burden hours increased by +34, from 900 hours to 934 annual burden hours.

---

Annual Cost to Federal Government: $18,557

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: 05/16/2012

---