Protecting National Security Through FCC Programs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 5640 Reimbursement Claim Request, Section 1.50004(g)	Form	Modified	Available
Form FCC Form 5640 Application Request for Funding Allocation, Section 1.50004(c)	Form	Modified	Available
Form FCC Form 5640 Final Certification and Updates, Section 1.50004(m)	Form	Modified	Available
Form FCC Form 5640 Spending Reports, Section 1.50004(l)	Form	Modified	Available
Form FCC Form 5640 Status Updates, Section 1.50004(k)	Form	Modified	Available
Form FCC Form 5640 Individual Term Extension Request, Section 1.50004(h)(2)	Form	Modified	Available
Form FCC Form 5641 Annual Report, Section 1.50007	Form	Modified	Available
Form FCC Form 5641 Business or other for profit	Form	Modified	Repair queued
DA-21-1234A1 (1).pdf	Supplementary Document	Uploaded 2021-12-07	Repair queued
3060-1270 Explanation of Non-Substantive Changes 12.6.21.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-12-07	Repair queued
Collection 3060-1270 Supporting Statement_revised .docx	Supporting Statement A	Uploaded 2021-08-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239106	Business or other for profit	Form	Modified	Reimbursement Claim Request, Section 1.50004(g)
239106	Business or other for profit	Form	Modified	Application Request for Funding Allocation, Section 1.50004(c)
239106	Business or other for profit	Form	Modified	Final Certification and Updates, Section 1.50004(m)
239106	Business or other for profit	Form	Modified	Spending Reports, Section 1.50004(l)
239106	Business or other for profit	Form	Modified	Status Updates, Section 1.50004(k)
239106	Business or other for profit	Form	Modified	Individual Term Extension Request, Section 1.50004(h)(2)
239106	Business or other for profit	Form	Modified	Annual Report, Section 1.50007
239106	Business or other for profit	Form	Modified

ICR Details

OMB Control No: 3060-1270	ICR Reference No: 202112-3060-005
Status: Historical Active	Previous ICR Reference No: 202107-3060-003
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Protecting National Security Through FCC Programs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/16/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/07/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2024	09/30/2024	09/30/2024
Responses	10,250	0	10,250
Time Burden (Hours)	27,400	0	27,400
Cost Burden (Dollars)	1,125,000	0	1,125,000

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Abstract: This submission is to make a non-substantive change request to existing information collections pursuant to 44 U.S.C. § 3507. The Commission seeks to change the FCC Form 5640 and FCC Form 5641(OMB Control No. 3060-1270). Previously, the Federal Communications Commission (FCC) sought and obtained approved from the Office of Management and Budget for multiple information collections needed to implement the Secure and Trusted Communications Networks Reimbursement Program (Reimbursement Program), OMB Control No. 3060-1270. The various filings are submitted using the FCC Form 5640 and 5641. To further protect the Reimbursement Program from waste, fraud, and abuse and to align the certifications with other recently implemented funding programs by the FCC, the FCC’s Wireline Competition Bureau revised the certifications associated with the FCC Form 5640. See Wireline Competition Bureau Announces Best Practices for Equipment Disposal and Revises FCC Form 5640 Certifications for the Secure and Trusted Communications Networks Reimbursement Program, WC Docket No. 18-89, Public Notice, DA 21-1234 (WCB Sept. 30, 2021). The Commission revises this collection to implement the Supply Chain Reimbursement Program, and related requirements, for the reimbursement of expenses by providers of advanced communications services for the removal, replacement, and disposal of covered communications equipment and service that poses a national security risk.

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Authorizing Statute(s): US Code: 47 USC 1603-1604 Name of Law: Secure Networks Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AK95	Final or interim final rulemaking	85 FR 230	01/03/2020

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 22050	04/26/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 41843	08/03/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Business or other for profit	FCC Form 5641, FCC Form 5640, FCC Form 5640, FCC Form 5640, FCC Form 5640, FCC Form 5640, FCC Form 5640	Annual Report, Section 1.50007 ,   Individual Term Extension Request, Section 1.50004(h)(2) ,   Status Updates, Section 1.50004(k) ,   Spending Reports, Section 1.50004(l) ,   Final Certification and Updates, Section 1.50004(m) ,   Application Request for Funding Allocation, Section 1.50004(c) ,   Reimbursement Claim Request, Section 1.50004(g)

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ICR Summary of Burden

table that charts list of burden

	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	10,250	10,250	0	0	0	0
Annual Time Burden (Hours)	27,400	27,400	0	0	0	0
Annual Cost Burden (Dollars)	1,125,000	1,125,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission is reporting program changes to this information collection as a result of new requirements and the elimination of an existing requirement. The estimated total number of respondents, total annual responses, total annual burden hours and total annual costs have therefore increased under this OMB control number. The total number of respondents increased from 2,257 to 3,500 (+1,243); the total annual responses increased from 2,257 to 10,250 (+7,993); the total annual burden hours increased from 6,771 to 27,400 (+20,629); and the total annual costs increased from $0 to $1,125,000 (+$1,125,000). There are no adjustments.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/07/2021

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