Information Collection

Application to Participate in a Reverse Auction

IC 218777 under ICR 201606-3060-002 · OMB 3060-1213.

Documents and Forms

Documents and forms in this information collection
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_06-2016_FINAL TO OMB.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

IC Title:

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:

table that charts list of 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_06-2016_FINAL TO OMB.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 %

table that charts list of burden
	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

table that charts IC Documents
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.