Freedom of Information/Privacy Act Request

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRA FOIA Supporting Statement 4.24.23_final version.docx	Supporting Statement A	Uploaded 2023-05-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260015	State, Local or Tribal Governments	Other-Privacy Act Request Form Screenshot	New
260014	Federal Government	Other-Privacy Act Request Form Screenshot	New
260013	Business or other for-profit	Other-FOIA Request Screenshot	New
259802	Individuals or Households	Other-Landing Page Screenshot	New

ICR Details

OMB Control No: 3060-1309	ICR Reference No: 202304-3060-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: OMD
Title: Freedom of Information/Privacy Act Request
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/03/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved
Responses	770	0	0
Time Burden (Hours)	62	0	0
Cost Burden (Dollars)	5,124	0	0

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Abstract: The online form is used to collect information necessary to process a proper FOIA request relating to a subject matter provided by the requester. This form will enhance the quality, utility, and clarity of the information to be collected; and minimize the burden of the collection of information on those responding.

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Authorizing Statute(s): US Code: 5 USC 552 Name of Law: Freedom of Information Act
   US Code: 5 USC 552a Name of Law: Privacy Act of 1974
  

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:
	88 FR 1140	02/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 27889	05/03/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Business or other for-profit
Federal Government
Individuals or Households
State, Local or Tribal Governments

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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	770	0	0	770	0	0
Annual Time Burden (Hours)	62	0	0	62	0	0
Annual Cost Burden (Dollars)	5,124	0	0	5,124	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The Commission is reporting program changes/increases to this new information collection. These increases to the total number of respondents of +770, total annual responses of +770, total annual burden hours of +62 and total annual costs of +$5,124.00 will be added to OMB’s current inventory.

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Annual Cost to Federal Government: $3,033,486

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.     Yes

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.     Yes

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: 05/03/2023

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