Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
3060-1223 Renewal Supporting Statement_June 2022.docx	Supporting Statement A	Uploaded 2022-06-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
224901	Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund - State, Local & Tribal Govt		Modified
224900	Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund (Business for Profit)		Modified

ICR Details

OMB Control No: 3060-1223	ICR Reference No: 202205-3060-023
Status: Historical Active	Previous ICR Reference No: 201901-3060-007
Agency/Subagency: FCC	Agency Tracking No: OMD-Financial Operations
Title: Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/10/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/10/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	36 Months From Approved	06/30/2022
Responses	350	0	2,500
Time Burden (Hours)	1,750	0	12,500
Cost Burden (Dollars)	0	0	0

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Abstract: The Spectrum Act requires the Commission to reimburse eligible entities for costs “reasonably incurred” due to stations relocating to new channels as a result of the repacking process or a winning reverse auction bid. The RAY BAUMS Act of 2018 added the new categories of eligible entities that we are now adding to the form. This information collection is a standardized form for eligible entities to submit additional information to facilitate incentive payments.

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Authorizing Statute(s): PL: Pub.L. 112 - 96 6403(a)(1) Name of Law: Middle Class Act Tax Relief and Job Creation Act of 2012 (Spectrum Act)
   PL: Pub.L. 115 - 141 1452 Name of Law: Div.P,Ray BAUM's Act Repack Airwaves Yielding Better Access for Users of Modern Services Act of 2018
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 18017	03/29/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 18017	03/29/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund (Business for Profit)
Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund - State, Local & Tribal Govt

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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	350	2,500	0	0	-2,150	0
Annual Time Burden (Hours)	1,750	12,500	0	0	-10,750	0
Annual Cost Burden (Dollars)	0	0	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 adjustments/decreases to this information collection. Because most of the entities that are eligible for reimbursement have already filed the form, there are decreases to the total number of respondents and total annual responses from 2,500 to 350 (-2,150) and the total annual burden hours from 12,500 to 1,750 (-10,750). There are no program changes.

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Annual Cost to Federal Government: $26,394

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: 06/10/2022

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