Waivers

Collections for the Prevention or Elimination of Interference and for the Reconfiguration of the 800 MHZ Band

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1080 can be found here:

Documents and Forms

Document Name Document Type
Form TA Form Number TA- Waivers Form and Instruction
TA Form Number TA- Interim Waiver Request Information Form Interim_Waiver_Request.pdf www.800ta.org/content/PDF/forms/Interim_Waiver_Request.pdf Form and Instruction
TA Form Number TA- Waiver Request Information Form Waiver_Request.pdf www.800ta.org/content/PDF/forms/Waiver_Request.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Waivers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 90.677(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TA Form Number TA-14.1	Interim Waiver Request Information Form	Interim_Waiver_Request.pdf	http://www.800ta.org/content/PDF/forms/Interim_Waiver_Request.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	TA Form Number TA-13.1	Waiver Request Information Form	Waiver_Request.pdf	http://www.800ta.org/content/PDF/forms/Waiver_Request.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 780	Number of Respondents for Small Entity: 585

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,080	1,080
Annual IC Time Burden (Hours)	930	930
Annual IC Cost Burden (Dollars)	62,400	62,400

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.