Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1224 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 1875 Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder Form
FCC Form 1875 Incentive Payment Form Incentive Payment Form Dec 12 2016.docx Form
FCC Form 1875 Incentive Payment Form PDF Incentive Payment Form ver 2 ANNOTATED_Changed REED REVISION.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder	Agency IC Tracking Number:	OMD/Financial Operations

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.2209

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 1875	Incentive Payment Form	Incentive Payment Form Dec 12 2016.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC Form 1875	Incentive Payment Form	PDF Incentive Payment Form ver 2 ANNOTATED_Changed REED REVISION.pdf		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: 375	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	750	750
Annual IC Time Burden (Hours)	1,875	1,875
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.