Information Collection

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

IC 224898 under ICR 201702-3060-017 · OMB 3060-1224.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.