State, Local or Tribal Governments

FCC Remittance Advice Forms: FCC Form 159/159-C, 159-B, 159-E, and 159-W

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0589 can be found here:

Documents and Forms

Document Name Document Type
Form Form 159 State, Local or Tribal Governments Form and Instruction
Form 159 Remittance Advice 0589_FCC Form 159--Revised Final (2).docx Form and Instruction

Information Collection (IC) Details

IC Title:	State, Local or Tribal Governments	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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 159	Remittance Advice	0589_FCC Form 159--Revised Final (2).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/OMD-25 Financial Operation Information System (FOIS)	FR Citation: 81 FR 69522

Number of Respondents: 34,135	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	34,135	34,135
Annual IC Time Burden (Hours)	8,534	8,534
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.