Information Collection

FCC Form 180 (business respondents)

IC 201290 under ICR 201206-3060-006 · OMB 3060-1166.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1166 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 180 FCC Form 180 (business respondents) Form and Instruction
FCC Form 180 Application to Participate in an Auction for Mobility Fu 1166_Mobility_Fund_Short_Form180_061512.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 180 (business respondents)	Agency IC Tracking Number:	WTB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.21001 47 CFR 54.1003 47 CFR 54.1004 47 CFR 54.1005 47 CFR 1.2112

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 180	Application to Participate in an Auction for Mobility Fund Phase I Support	1166_Mobility_Fund_Short_Form180_061512.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

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.