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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.