Application to Participate in an FCC Auction

Application to Participate in a FCC Auction, FCC Form 175

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FCC Form 175 Application to Participate in an FCC Auction Form
Screenshots of Certificaion National Security.docx Other-National Security Certificatio
FCC Form 175 Application to Participate in a FCC Auction - Certificat Screen shots of Form 175 (November 2013).pdf Form

Information Collection (IC) Details

IC Title:	Application to Participate in an 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 1.2112 47 CFR 1.2110 47 CFR 1.2105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 175	Application to Participate in a FCC Auction - Certifications	Screen shots of Form 175 (November 2013).pdf		Yes	Yes	Fillable Fileable Signable
Other-National Security Certification			Screenshots of Certificaion National Security.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: 250	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	-250	500
Annual IC Time Burden (Hours)	375	-375	750
Annual IC Cost Burden (Dollars)	0	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.