FCC Remittance Advice Forms, FCC Form 159/159-C, 159-B, and 159-E

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
30424	FCC Remittance Advice Forms, FCC Form 159/159-C, 159-B, and 159-E Form	Migrated

ICR Details

OMB Control No: 3060-0589	ICR Reference No: 200505-3060-002
Status: Historical Active	Previous ICR Reference No: 200407-3060-020
Agency/Subagency: FCC	Agency Tracking No:
Title: FCC Remittance Advice Forms, FCC Form 159/159-C, 159-B, and 159-E
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/30/2005
	Date Received in OIRA: 05/06/2005
Terms of Clearance: The FCC should modify business processes and interaction with lock-box provider (currently Mellon Bank), so that sensitive information (including credit card numbers) is not collected by o r transmitted to the FCC unless necessary. In cases where sensit ive information resides with the FCC, appropriate security cont rols, as required by law and policy, should be in place.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2008	06/30/2008	06/30/2006
Responses	150,000	0	300,000
Time Burden (Hours)	37,500	0	150,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The FCC Forms 159/159-C, 159-B, and 159-E are required for payment of regulatory fees, for paying for multiple filings with a single payment instrument, or for paying by credit card for Federal benefits. The forms require specific information to track the payment history and to facilitate the efficient and expeditious processing of applications and other services by a lockbox bank. The FCC uses the information to collect and to report any delinquent amounts arising out of any filer's relationship(s) with the Federal Government.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

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
FCC Remittance Advice Forms, FCC Form 159/159-C, 159-B, and 159-E	FCC-159, FCC-159-C, FCC-159-B, FCC-159-E

---

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	150,000	300,000	0	0	-150,000	0
Annual Time Burden (Hours)	37,500	150,000	0	0	-112,500	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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

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: 05/06/2005

---