FCC Form 180

Application to Participate in an Auction for Mobility Fund Phase I Support, FCC Form 180

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1166 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 180 FCC Form 180 Form and Instruction
FCC Form 180 Application to Participate in an Auction for Mobility Fu 20150108144049.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	FCC Form 180	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 1.21001 47 CFR 1.2112 47 CFR 54.1003 47 CFR 54.1004 47 CFR 54.1005

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 180	Application to Participate in an Auction for Mobility Fund Phase I Support	20150108144049.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	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	75	-50	125
Annual IC Time Burden (Hours)	113	-75	188
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.