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
0589 FCC Form 159-B Sample Bill.pdf Supplementary Document	2007-12-12
0589ss_012111 final.doc Supporting Statement A	2011-01-21
0589 Form 159-E Remittance Voucher_121107.pdf Supplementary Document	2007-12-12
0949 ITSP Regulatory Fee Bill_121007.pdf Supplementary Document	2007-12-12
0589_Form 159 & 159-C.pdf Supplementary Document	2007-12-12
0589_FCC Form 159w_120407.pdf Supplementary Document	2007-12-06

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: 201101-3060-006
Status: Historical Active	Previous ICR Reference No: 200711-3060-019
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: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/28/2011
	Date Received in OIRA: 02/16/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2011
Responses	156,000	0	156,000
Time Burden (Hours)	39,000	0	39,000
Cost Burden (Dollars)	0	0	0

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Abstract: 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. With the submission of this collection (3060-0589) to OMB, the Commission takes this opportunity to consolidate 3060-0949 into 3060-0589 to that our family of Form 159 remittance advice forms reside under a single OMB control number.

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Authorizing Statute(s): US Code: 47 USC 158 Name of Law: Communications Act of 1934, as amended
   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
  

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:
	75 FR 62816	10/13/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 7562	02/10/2011
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	Interstate Telephone Service Provider (ITSP) Regulatory Fee Bill ,   FCC Remittance Advice Forms

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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	156,000	156,000	0	0	0	0
Annual Time Burden (Hours)	39,000	39,000	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: $52,684

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]? 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: 02/16/2011

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