View Information Collection Request (ICR) Package
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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:
3060-1241
ICR Reference No:
201804-3060-002
Status:
Historical Active
Previous ICR Reference No:
201706-3060-027
Agency/Subagency:
FCC
Agency Tracking No:
WCB
Title:
Connect America Phase II Auction Waiver Post-Selection Review
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:
04/12/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/09/2018
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2020
09/30/2020
09/30/2020
Responses
150
0
150
Time Burden (Hours)
500
0
500
Cost Burden (Dollars)
0
0
0
Abstract:
This submission is being made to OMB as a non-substantive change request to an existing information collection pursuant to 44 U.S.C. ยง 3507. This submission seeks to change the commercial overnight mailing address from 9300 East Hampton Drive, Capitol Heights, MD 20743 to 9050 Junction Drive, Annapolis Junction, MD, 20701 on the accompanying instructions to FCC Form 5625 for OMB Control Number 3060-1241. Under this information collection, the Commission proposes to collect information to determine whether applicants that were selected in coordination with New York's New NY Broadband Program are technically and financially capable of meeting the terms and conditions of Connect America Phase II support.
Authorizing Statute(s):
US Code:
47 USC 254
US Code:
47 USC 214
US Code:
47 USC 151-154
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
3060-AF85
Final or interim final rulemaking
81 FR 44413
07/07/2016
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 22997
05/19/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 35780
08/01/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Connect America Phase II Auction Waiver Post-Selction Review
FCC 5625
Connect America Phase II New York Long Form Application - Main Form
ICR Summary 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
150
150
0
0
0
0
Annual Time Burden (Hours)
500
500
0
0
0
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:
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?
Uncollected
Agency Contact:
Alexander Minard 202 418-0428
Common Form ICR:
No
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:
04/09/2018
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