FCC Form 180 (state, local or tribal respondents)

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

⚠️ Notice: This information collection may be referencing outdated material.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 (state, local or tribal 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

IC Title:	FCC Form 180 (state, local or tribal 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 - 1.21004

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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	187	187
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.