Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements

ICR 201405-3060-022

OMB: 3060-1185

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2014-05-28
Supporting Statement A
2013-01-31
IC Document Collections
IC ID
Document
Title
Status
205578 Modified
205577
Unchanged
ICR Details
3060-1185 201405-3060-022
Historical Active 201308-3060-007
FCC WTB/Mobility
Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/02/2014
Retrieve Notice of Action (NOA) 05/28/2014
  Inventory as of this Action Requested Previously Approved
03/31/2016 03/31/2016 03/31/2016
890 0 890
14,830 0 14,830
0 0 0

The Commission created a new collection in which recipients of Mobility Fund support are required to file annual reports with the Commission demonstrating the coverage provided with support from the Mobility Fund for five years after qualifying for support. Documentation prepared for, or in connection with, the award of Mobility Fund Phase I support is to be retained for a period of not less than 10 years after it receives the final disbursement of support. The Commission created new FCC Form 690 to ensure that recipients of Mobility Fund Phase I support are meeting their obligations for receiving support. The FCC Form 690, Annual Report for Mobility Fund Phase I Support, format is being modified as a result of the development of online electronic filings by both the Federal Communications Commission and Universal Service Administrative Company. This change is reflected in both the form instructions and on the form. The burden hours or costs are not impacted by this non-substantive change request submission.

US Code: 47 USC 154 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r) Name of Law: Communications Act of 1934, as amended
  
None

3060-AJ02 Final or interim final rulemaking 76 FR 73830 11/29/2011

  77 FR 68777 11/16/2012
78 FR 6104 01/29/2013
No

2
IC Title Form No. Form Name
FCC 690 and Record Retention Requirements
FCC Form 690 FCC Form 690 Phase I - Section 54.1009 Annual Reporting Data Collection Form

  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 890 890 0 0 0 0
Annual Time Burden (Hours) 14,830 14,830 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$140,540
No
No
No
No
No
Uncollected
Rita Cookmeyer 202 418-0434

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/28/2014


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