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

Forms and Documents

Document	Type	Status	Availability
Form FCC Form 1875 Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder	Form	Unchanged	Repair queued
3060-1224 SS Final Reverse Auction 072017_2.docx	Supporting Statement A	Uploaded 2017-06-02	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
224899	Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder		Unchanged
224898	Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder	Form	Unchanged

ICR Details

OMB Control No: 3060-1224	ICR Reference No: 201706-3060-004
Status: Historical Active	Previous ICR Reference No: 201703-3060-017
Agency/Subagency: FCC	Agency Tracking No: OMD/Financial Operations
Title: Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/05/2017
	Date Received in OIRA: 06/05/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	36 Months From Approved	07/31/2017
Responses	1,500	0	1,500
Time Burden (Hours)	3,750	0	3,750
Cost Burden (Dollars)	0	0	0

---

Abstract: FCC is conducting a reverse auction to determine the amount of compensation that each broadcast television licensee would accept in return for voluntarily relinquishing some or all of its broadcast television spectrum usage rights in order to make spectrum available for assignment through a system of competitive bidding. This information collection is a standardized form for successful bidders in the reverse auction to submit additional information to facilitate incentive payments.

---

Authorizing Statute(s): PL: Pub.L. 112 - 96 6403(a)(1) Name of Law: Middle Class Tax Relief and Job Creation Act of 2012 (Spectrum Act)
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 96 6403(a)(1) Name of Law: Middle Class Tax Relief and Job Creation Act of 2012 (Spectrum Act)

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16205	04/03/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16205	04/03/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder	FCC Form 1875 , FCC Form 1875	Incentive Payment Form ,   Incentive Payment Form
Reverse Auction (Auction 1001) Incentive Payment Instructions from Reverse Auction Winning Bidder

---

ICR Summary 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	1,500	1,500	0	0	0	0
Annual Time Burden (Hours)	3,750	3,750	0	0	0	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:

---

Annual Cost to Federal Government: $41,825

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

---

Common Form ICR:  No

---

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: 06/05/2017

---