Application for Mobility Fund Phase I Support, FCC Form 680

Forms and Documents

Document Name	Status
Form FCC Form 680 FCC Form 680 Form and Instruction	Modified
NEW_FCC680_SS_041912.doc Supporting Statement A	2012-04-19

IC Document Collections

IC ID	Document Title	Status
201294	FCC Form 680	Modified
201293	FCC Form 680 Form and Instruction	Modified

ICR Details

OMB Control No: 3060-1168	ICR Reference No: 201501-3060-009
Status: Historical Active	Previous ICR Reference No: 201112-3060-010
Agency/Subagency: FCC	Agency Tracking No: WTB
Title: Application for Mobility Fund Phase I Support, FCC Form 680
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: 01/08/2015
	Date Received in OIRA: 01/08/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2018	36 Months From Approved	04/30/2015
Responses	100	0	250
Time Burden (Hours)	150	0	375
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Communications Commission (Commission) is seeking to obtain approval from the Office of Management and Budget (OMB) for an extension of a currently approved collection, with no change in burden estimates. On November 18, 2011, the Commission released a Report and Order and Further Notice of Proposed Rulemaking, FCC 11-161, which adopted rules to govern the Connect America Fund Mobility Fund. In adopting the rules, the Commission provided for one-time support to immediately accelerate deployment of networks for mobile broadband services in unreserved areas.The Commission will use the information collected from winning bidders to evaluate eligibility for Mobility Fund Phase I support.

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Authorizing Statute(s): 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
  

Citations for New Statutory Requirements: None

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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:
	79 FR 64189	10/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 64189	10/28/2014
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
FCC Form 680
FCC Form 680	FCC Form 680	Application for Mobility Fund Phase I Support

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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	100	250	0	0	-150	0
Annual Time Burden (Hours)	150	375	0	0	-225	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: The Commission has the following adjustments/decreases to this collection which are due to less respondents filing responses with the Commission: a decrease of 150 to the number of respondents, a decrease of 150 to the annual number of responses and a decrease of 225 to the annual burden hours. There are no program changes to this collection.

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Annual Cost to Federal Government: $8,742

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: 01/08/2015

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