Information Collection

Sections 1.2110, 1.2111 and 1.2112, Auction and Licensing Disclosures -- Ownership and Small Business Status

IC 182611 under ICR 201404-3060-030 · OMB 3060-0767.

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Information Collection (IC) Details

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IC Title:	Sections 1.2110, 1.2111 and 1.2112, Auction and Licensing Disclosures -- Ownership and Small Business Status	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 1.2112 47 CFR 1.2111 47 CFR 1.2110

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	-50	200
Annual IC Time Burden (Hours)	225	-175	400
Annual IC Cost Burden (Dollars)	15,000	5,000	10,000

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