Information Collection

Individuals or Households

IC 238770 under ICR 201912-3060-002 · OMB 3060-1268.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1268 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 1877 Individuals or Households	Form and Instruction
FCC Form 1877 INCUMBENT 39 GHZ LICENSEE POST-AUCTION CERTIFICATIONS AN A103 Form1877 (draft 11-25-2019)tws.docx	Form and Instruction

IC Title:

Individuals or Households

Agency IC Tracking Number:

OMD-FO

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 1.2115(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 1877	INCUMBENT 39 GHZ LICENSEE POST-AUCTION CERTIFICATIONS AND INSTRUCTIONS	A103 Form1877 (draft 11-25-2019)tws.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.