Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405

Forms and Documents

Document Name	Status
Form 405 Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405 Form and Instruction	Modified
3060_0093 SS (82017).docx Supporting Statement A	2017-08-29

IC Document Collections

IC ID	Document Title	Status
29572	Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405 Form and Instruction	Modified
198759	Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405	Modified

ICR Details

OMB Control No: 3060-0093	ICR Reference No: 201708-3060-003
Status: Historical Active	Previous ICR Reference No: 201406-3060-025
Agency/Subagency: FCC	Agency Tracking No: OET
Title: Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405
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: 08/29/2017
	Date Received in OIRA: 08/29/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	09/30/2017
Responses	520	0	350
Time Burden (Hours)	1,170	0	788
Cost Burden (Dollars)	179,400	0	117,250

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Abstract: FCC Form 405 is used by common carriers to apply for renewal of radio station licenses. The data are used by Commission staff to renew authorizations for current licensees.

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Authorizing Statute(s): US Code: 47 USC 154(i), 301, 302 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(e), 303(f), 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:
	82 FR 28061	06/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28061	06/20/2017
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405	405	Expiremental License Renewal
Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405

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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	520	350	0	0	170	0
Annual Time Burden (Hours)	1,170	788	0	0	382	0
Annual Cost Burden (Dollars)	179,400	117,250	0	0	62,150	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: The Commission notes that there are adjustments to this information collection. The number of respondents increased by 170 (from 350 to 520), the total annual number of responses increased by 170 (from 350 to 520), the annual burden hours increased by 382 hours (from 788 to 1,170), and the total annual cost burden increased by $62,150 (from $117,250 to $179,400). These adjustments are due to more FCC Form 405 applications being filed with the Commission.

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Annual Cost to Federal Government: $86,010

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/29/2017

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