Application for Connect America Fund Phase II Auction Support - FCC Form 683

Forms and Documents

Document Name	Status
Form FCC Form 683 Application for Connect America Fund Phase II Auction Support - FCC Form 683 Form	New
FCC-18-6A1.pdf Supplementary Document	2018-06-05
CAF-II Long-Form_PRA_Supporting Statement_06042018 (final version).doc Supporting Statement A	2018-06-05

IC Document Collections

IC ID	Document Title	Status
231486	Application for Connect America Fund Phase II Auction Support - FCC Form 683	New
231485	Application for Connect America Fund Phase II Auction Support - FCC Form 683 Form	New

ICR Details

OMB Control No: 3060-1256	ICR Reference No: 201804-3060-016
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Application for Connect America Fund Phase II Auction Support - FCC Form 683
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: 07/31/2018
	Date Received in OIRA: 06/07/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	36 Months From Approved
Responses	800	0	0
Time Burden (Hours)	5,600	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Under this information collection, the Commission will use this information to collect disclosures and certifications adopted by the Commission that must be made by Phase II auction winning bidders seeking to become authorized for Phase II support. The FCC Form 683 will be used by entities to become authorized to receive Phase II support.

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Authorizing Statute(s): US Code: 47 USC 154 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r) Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AK57	Final or interim final rulemaking	81 FR 44413	07/07/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 12389	03/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 26458	06/07/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Connect America Fund Phase II Auction Support - FCC Form 683	FCC Form 683	Connect America Fund Phase II (CAF II) Long Form
Application for Connect America Fund Phase II Auction Support - FCC Form 683

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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	800	0	0	800	0	0
Annual Time Burden (Hours)	5,600	0	0	5,600	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: This is a new information collection resulting in program change increases of 400 total respondents, 800 total annual responses, and 5,600 total annual burden hours.

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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

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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: 06/07/2018

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