Application to Participate in a FCC Auction, FCC Form 175

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0600_ss_emergency_082613.doc	Supporting Statement A	Uploaded 2013-08-26	Available
0600_SignedOMBLetter_082613.pdf	Supplementary Document	Uploaded 2013-08-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
30443	Application to Participate in a FCC Auction	Other-electronic screen shots	Modified

ICR Details

OMB Control No: 3060-0600	ICR Reference No: 201308-3060-009
Status: Historical Active	Previous ICR Reference No: 201207-3060-006
Agency/Subagency: FCC	Agency Tracking No: WTB/Auctions
Title: Application to Participate in a FCC Auction, FCC Form 175
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/25/2014
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/17/2013
	Date Received in OIRA: 08/26/2013
Terms of Clearance: This collection is approved for 6 months based on the materials provided by the Agency. If the Agency plans to use this collection for more than 6 months, the Agency must go through the regular 60 and 30 PRA process.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	6 Months From Approved	09/30/2015
Responses	500	0	500
Time Burden (Hours)	750	0	750
Cost Burden (Dollars)	0	0	0

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Abstract: The FCC Form 175 is used to participate in a competitive bidding (auction), or for a license, authorization, assignment or transfer of control. The applicant shall follow the ownership disclosure requirements in 47 CFR Sections 1.2105, 1.2110 and 1.2112 of the Commission's rules. The Federal Communication Commission uses information collected in FCC Form 175 in determining whether applicants are legally, technically, and financially qualified to participate in Commission auctions for licenses or permits.

Emergency Justfication: On 2/22/12, the President signed the 2012 Spectrum Act, which, among other things requires the FCC to license certain specified frequency bands using a system of competitive bidding not later than three years after enactment. Section 6004 of the 2012 Spectrum At (47 U.S.C. section 1404), prohibits a person who has been, for reasons of national security, barred by any agency of the Federal Government from bidding on a contract, participating in an auction, or receiving a grant from participating in any auction that is required or authorized to be conducted pursuant to the 2012 Spectrum Act. The reason for the emergency is that the FCC has added a national security certification to FCC Form 175 and individuals and entities must file the form in early October to participate in the auction and the certification must be added to the form. This entails no additional burden to this information collection.

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Authorizing Statute(s): US Code: 47 USC 4(i) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 309(j)(5) Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 96 6004 Name of Law: Middle Class Tax Relief and Job Creation Act of 2012 (2012 Spectrum Act)

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AJ86	Final or interim final rulemaking	78 FR 50214	08/16/2013

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52767	08/26/2013
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application to Participate in a FCC Auction	FCC Form 175	Application to Participate in a FCC Auction - Certifications

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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	500	500	0	0	0	0
Annual Time Burden (Hours)	750	750	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: $11,498

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: 08/26/2013

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