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

Forms and Documents

Document Name	Status
Form FCC 159-W FCC Remittance Advice Forms, FCC Form 159/159-C, 159-B, 159-E, and 159-W Form and Instruction	Modified
3060-0589 Explanation for FCC Form 159 Non-substantitve Change.docx Justification for No Material/Nonsubstantive Change	2018-02-13
3060-0589_(FINAL 2017).doc Supporting Statement A	2017-05-03

IC Document Collections

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

ICR Details

OMB Control No: 3060-0589	ICR Reference No: 201802-3060-019
Status: Historical Active	Previous ICR Reference No: 201705-3060-012
Agency/Subagency: FCC	Agency Tracking No: OMD-FO
Title: FCC Remittance Advice Forms: FCC Form 159/159-C, 159-B, 159-E, and 159-W
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: 03/08/2018
	Date Received in OIRA: 02/13/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2020	06/30/2020	06/30/2020
Responses	102,405	0	102,405
Time Burden (Hours)	25,601	0	25,601
Cost Burden (Dollars)	0	0	0

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Abstract: The Commission is seeking a non-substantive change request for this information collection. This submission seeks to update FCC Form 159 and the accompanying instructions to FCC Form 159. Please see the attached updated form and instructions. The FCC Forms 159/159-C, 159-B, 159-E, 159-W and blank Form 159-W Worksheet are remittance advice forms that applicants/licensees are required to file when making payments to the Commission for, including, but not limited to: regulatory fees, application fees, auction participation, fines, forfeitures, Freedom of Information Act billings, and any other debt due to the Commission.

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Authorizing Statute(s): US Code: 47 USC 159 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 309(j) Name of Law: Communications Act of 1934, as amended
   PL: Pub.L. 104 - 134 Section 31001 Name of Law: Debt Collection Improvement Act of 1996
   US Code: 47 USC 158 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: US Code: 47 USC 158 Name of Law: null
US Code: 47 USC 159 Name of Law: null
PL: Pub.L. 104 - 134 31001 Name of Law: Debt Collection Improvement Act of 1996
US Code: 47 USC 309(j) Name of Law: null

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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:
	82 FR 10578	02/14/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 20603	05/03/2017
Did the Agency receive public comments on this ICR? No

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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, 159-E, and 159-W	FCC 159/159-C, 159-B, and 159-E, FCC 159-W, Form 159	Interstate Telephone Service Provider (ITSP) Regulatory Fee Bill ,   FCC Remittance Advice Forms ,   Remittance Advice

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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	102,405	102,405	0	0	0	0
Annual Time Burden (Hours)	25,601	25,601	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:

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Annual Cost to Federal Government: $41,187

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? Uncollected

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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: 02/13/2018

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