Information Collection

Application to Participate in a FCC Auction

IC 30443 under ICR 201308-3060-009 · OMB 3060-0600.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0600 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0600_Form 175screenshots_092309.doc	Other-electronic screen shots
0600_NationalSecurityCert_082613.docx	Other-National Security Certificatio
FCC Form 175 Application to Participate in a FCC Auction - Certificat 0600_FCCForm175_Certifications_082613.docx	Form

IC Title:

Application to Participate in a FCC Auction

Agency IC Tracking Number:

WTB/Auctions

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.2105 47 CFR 1.2112 47 CFR 1.2110

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-electronic screen shots			0600_Form 175screenshots_092309.doc	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 175	Application to Participate in a FCC Auction - Certifications	0600_FCCForm175_Certifications_082613.docx	Yes	Yes	Fillable Fileable Signable
Other-National Security Certification			0600_NationalSecurityCert_082613.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.