Application to Participate in a FCC Auction, FCC Form 175

Forms and Documents

Document Name	Status
Form FCC Form 175 Application to Participate in an FCC Auction Form	Modified
Supporting Statement OMB 3060-0600 (November 2013).doc Supporting Statement A	2014-01-23

IC Document Collections

IC ID	Document Title	Status
30443	Application to Participate in an FCC Auction Form	Modified
210116	Application to Participate in an FCC Auction	New

ICR Details

OMB Control No: 3060-0600	ICR Reference No: 201401-3060-018
Status: Historical Active	Previous ICR Reference No: 201309-3060-009
Agency/Subagency: FCC	Agency Tracking No: WTB/Auctions
Title: Application to Participate in a FCC Auction, FCC Form 175
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/23/2014
	Date Received in OIRA: 01/23/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	36 Months From Approved	03/31/2014
Responses	500	0	500
Time Burden (Hours)	750	0	750
Cost Burden (Dollars)	0	0	0

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Abstract: With this submission, the Federal Communications Commission (FCC) requests that OMB approve an extension of a currently approved information collection in FCC Form 175. The FCC uses the 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.

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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) and 1404 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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 69670	11/20/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 69670	11/20/2013
Did the Agency receive public comments on this ICR? No

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

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

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ICR Summary 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: There are no program changes or adjustments to this information collection.

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Annual Cost to Federal Government: $14,425

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: 01/23/2014

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