Connect America Phase II Auction Waiver Post-Selection Review

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC 5625 Connect America Phase II Auction Waiver Post-Selction Review	Form	Modified	Available
3060-1241 Non Sub Change (4.9.18).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2018-04-09	Available
3060-XXXX New York SS (07192017_final).docx	Supporting Statement A	Uploaded 2017-07-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227297	Connect America Phase II Auction Waiver Post-Selction Review	Form	Modified

ICR Details

OMB Control No: 3060-1241	ICR Reference No: 201804-3060-002
Status: Historical Active	Previous ICR Reference No: 201706-3060-027
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Connect America Phase II Auction Waiver Post-Selection Review
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/12/2018
	Date Received in OIRA: 04/09/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	09/30/2020	09/30/2020
Responses	150	0	150
Time Burden (Hours)	500	0	500
Cost Burden (Dollars)	0	0	0

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Abstract: This submission is being made to OMB as a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to change the commercial overnight mailing address from 9300 East Hampton Drive, Capitol Heights, MD 20743 to 9050 Junction Drive, Annapolis Junction, MD, 20701 on the accompanying instructions to FCC Form 5625 for OMB Control Number 3060-1241. Under this information collection, the Commission proposes to collect information to determine whether applicants that were selected in coordination with New York's New NY Broadband Program are technically and financially capable of meeting the terms and conditions of Connect America Phase II support.

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Authorizing Statute(s): US Code: 47 USC 254 Name of Law: null
   US Code: 47 USC 214 Name of Law: null
   US Code: 47 USC 151-154 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-AF85	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 22997	05/19/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 35780	08/01/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Connect America Phase II Auction Waiver Post-Selction Review	FCC 5625	Connect America Phase II New York Long Form Application - Main Form

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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	150	150	0	0	0	0
Annual Time Burden (Hours)	500	500	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:

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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: 04/09/2018

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