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⚠️ Notice: This information collection may be referencing outdated material.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
Screenshots of Certificaion National Security.docx Other-National Security Certificatio
FCC Form 175 Application to Participate in a FCC Auction - Certificat FCC Form 175.pdf Form
FCC Form 175 Acknowledgement Statement for FCC Form 175 Acknowledgement statement for FCC Form 175 (July 2014).docx 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 47 CFR 2.106 47 CFR 27.1134

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-National Security Certification			Screenshots of Certificaion National Security.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 175	Application to Participate in a FCC Auction - Certifications	FCC Form 175.pdf	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 175	Acknowledgement Statement for FCC Form 175	Acknowledgement statement for FCC Form 175 (July 2014).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: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	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.