Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund

ICR 201901-3060-007

OMB: 3060-1223

Federal Form Document

ICR Details
3060-1223 201901-3060-007
Active 201706-3060-021
FCC OMD-Financial Operations
Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund
Revision of a currently approved collection   No
Approved without change 04/23/2019
Retrieve Notice of Action (NOA) 03/06/2019
  Inventory as of this Action Requested Previously Approved
04/30/2022 36 Months From Approved 09/30/2020
2,500 0 2,000
12,500 0 6,000
0 0 0

The Spectrum Act requires the Commission to reimburse eligible entities for costs “reasonably incurred” to stations relocating to new channels as a result of the repacking process or a winning reverse auction bid.The RAY BAUMS Act of 2018 added the new categories of eligible entities that we are now adding to the form. This information collection is a standardized form for eligible entities to submit additional information to facilitate incentive payments.

PL: Pub.L. 112 - 96 6403(b)(4)(A) Name of Law: Middle Class Act Tax Relief and Job Creation Act of 2012 (Spectrum Act)
PL: Pub.L. 115 - 141 1452 Name of Law: Repack Airwaves Yielding Better Access for Users of Modern Services Act of 2018, Div. P (RAYBAUM's)

Not associated with rulemaking

  83 FR 66261 12/26/2018
84 FR 8096 03/06/2019

  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 2,500 2,000 0 500 0 0
Annual Time Burden (Hours) 12,500 6,000 0 6,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Changing Regulations
The Commission is reporting program changes/increases to this revised collection. There are increases to the total number of respondents of +2,500, total annual responses of +2,500 and total annual burden hour of +12,500 hours as a result of allowing additional types of entities—TV translator stations, low power TV stations, and FM radio stations to this collection. There are no adjustments to this collection.

David Reed 202 418-1809


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:
    (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;
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.

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