Application to Participate in Connect America Fund Phase II Auction, FCC Form 183

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
FCC-18-6A1.pdf	Supplementary Document	Uploaded 2018-02-01	Available
3060-XXXX_CAF-Phase II Auction Short-Form Application (FINAL VERSION 012318).docx	Supporting Statement A	Uploaded 2018-01-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
229790	Application to Participate in Connect America Fund Phase II Auction, FCC Form 183		New
229789	Application to Participate in Connect America Fund Phase II Auction, FCC Form 183	Other-CAF II Form 183 (Screenshot)	New

ICR Details

OMB Control No: 3060-1252	ICR Reference No: 201801-3060-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Application to Participate in Connect America Fund Phase II Auction, FCC Form 183
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/05/2018
	Date Received in OIRA: 02/01/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved
Responses	500	0	0
Time Burden (Hours)	3,500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Under this information collection, the Commission will use this information to determine whether applicants are qualified to participate in competitive bidding for CAF-II support. The FCC Form 183 will be used by entities applying to participate in the auction for CAF-II support.

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Authorizing Statute(s): US Code: 47 USC 154 Name of Law: null
   US Code: 47 USC 254 Name of Law: null
   US Code: 47 USC 303(r) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AK57	Final or interim final rulemaking	81 FR 44413	07/07/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28062	06/20/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 4481	01/31/2018
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application to Participate in Connect America Fund Phase II Auction, FCC Form 183
Application to Participate in Connect America Fund Phase II Auction, FCC Form 183

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ICR Summary of Burden

table that charts list 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	500	0	0	500	0	0
Annual Time Burden (Hours)	3,500	0	0	3,500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection resulting in program change increases of 500 total respondents, 500 total annual responses, and 3,500 total annual burden hours as of the result of the information collection requirements adopted in FCC 16-64.

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Annual Cost to Federal Government: $0

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: 02/01/2018

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