Application to Participate in a Reverse Auction

Application to Participate in a Reverse Incentive Auction, FCC Form 177

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1213 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 177 Application to Participate in a Reverse Auction Form
FCC Form 177 Application to Participate in a Reverse Incentive Auctio Form177_Screens_OMB_10292015_FINAL.pdf Form
Channel Sharer Certifications for Full Power Station Sha Full_Power_Channel_Sharer_Certifications_103015.pdf Form
Channel Sharer Certifications for Class A Station Sharer Class_A_Sharer_Certifications_103015.pdf Form
FCC Form 177 Channel Sharing Updated Screenshots (for Two Pages that Updated FCC Form 177 Channel Sharing Screenshots 12-1-15 (TO OMB).docx Form

Information Collection (IC) Details

IC Title:	Application to Participate in a Reverse Auction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 177	Application to Participate in a Reverse Incentive Auction	Form177_Screens_OMB_10292015_FINAL.pdf	Yes	Yes	Fillable Fileable Signable
Form	None	Channel Sharer Certifications for Full Power Station Sharer	Full_Power_Channel_Sharer_Certifications_103015.pdf	Yes	Yes	Fillable Fileable Signable
Form	None	Channel Sharer Certifications for Class A Station Sharer	Class_A_Sharer_Certifications_103015.pdf	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 177	Channel Sharing Updated Screenshots (for Two Pages that Changed Only)	Updated FCC Form 177 Channel Sharing Screenshots 12-1-15 (TO OMB).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: 300	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	300	300
Annual IC Time Burden (Hours)	450	450
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.