Information Collection

State, Local or Tribal Governments

IC 242050 under ICR 202005-3060-017 · OMB 3060-0589.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

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.