View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3060-1166	ICR Reference No: 201112-3060-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: WT/Mobility
Title: Application to Participate in an Auction for Mobility Fund Phase I Support, FCC Form 180
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 with change	Conclusion Date: 04/16/2012
	Date Received in OIRA: 03/01/2012
Terms of Clearance: Updated supporting statement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved
Responses	250	0	0
Time Burden (Hours)	375	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	250	250
Annual Time Burden (Hours)	375	375
Annual Cost Burden (Dollars)	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 submitting this new information collection for OMB review and approval. By adopting the FCC 11-161, Connect America Fund and Intercarrier Compensation Reform, the Commission created FCC Form 180. The FCC Form 180 will be used by entities applying to participate in auctions for Mobility Fund support. Commission staff will reviw the information collected prior to the auction.

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