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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 690 Phase I - Section 54.1009 Annual Reporting Data Collection Form	Form	Modified	Available
Supporting Statement OMB 3060-1185 (2016).doc	Supporting Statement A	Uploaded 2016-03-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205578	Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements	Form	Modified	Phase I - Section 54.1009 Annual Reporting Data Collection Form
205577	Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements		Modified

ICR Details

OMB Control No: 3060-1185	ICR Reference No: 201603-3060-013
Status: Historical Active	Previous ICR Reference No: 201405-3060-022
Agency/Subagency: FCC	Agency Tracking No: WTB/Mobility
Title: Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/23/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/23/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved	05/31/2016
Responses	880	0	890
Time Burden (Hours)	15,874	0	14,830
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information requires respondents 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.

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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:
	81 FR 3130	01/20/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 15519	03/23/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements	FCC Form 690	Phase I - Section 54.1009 Annual Reporting Data Collection Form
Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements

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ICR Summary of Burden

table that charts list 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	880	890	0	0	-10	0
Annual Time Burden (Hours)	15,874	14,830	0	0	1,044	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: There are no program changes to this collection. There are adjustments as follows due to the Commission re-estimating the burden for this collection: -856 to number of respondents, -10 to the annual number of responses and +1,044 hours to the annual burden hours.

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Annual Cost to Federal Government: $156,103

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: 03/23/2016

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