Application to Participate in an Auction for Mobility Fund Phase I Support, FCC Form 180

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 180 FCC Form 180 (state, local or tribal respondents)	Form and Instruction	Modified	Available
Form FCC Form 180 FCC Form 180 (business respondents)	Form and Instruction	Modified	Available
1166_nonsubsantivechangeabstract_061512.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2012-06-15	Available
NEW_FCC180_SS_030512_finalv2.doc	Supporting Statement A	Uploaded 2012-03-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
201291	FCC Form 180 (state, local or tribal respondents)	Form and Instruction	Modified
201290	FCC Form 180 (business respondents)	Form and Instruction	Modified

ICR Details

OMB Control No: 3060-1166	ICR Reference No: 201206-3060-006
Status: Historical Active	Previous ICR Reference No: 201112-3060-011
Agency/Subagency: FCC	Agency Tracking No: WTB
Title: Application to Participate in an Auction for Mobility Fund Phase I Support, FCC Form 180
Type of Information Collection: No material or nonsubstantive change to 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: 06/19/2012
Terms of Clearance:

table that charts list comparision

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

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Abstract: The Commission will use the information collected to determine whether applicants are eligible to participate in the Mobility Fund Phase I auction. On November 18, 2011, the Commission adopted and 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 unserved areas. Mobility Fund Phase I support will be awarded through a nationwide reverse auction. The information collection process for the Mobility Fund Phase I auction is similar to that used in spectrum license actions. This approach provides an appropriate screen to ensure serious participation without being unduly burdensome.

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Authorizing Statute(s): US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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

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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

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

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 180 (business respondents)	FCC Form 180	Application to Participate in an Auction for Mobility Fund Phase I Support
FCC Form 180 (state, local or tribal respondents)	FCC Form 180	Application to Participate in an Auction for Mobility Fund Phase I Support

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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	250	250	0	0	0	0
Annual Time Burden (Hours)	375	375	0	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:

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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

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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: 06/19/2012

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