Individuals or Households

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

Documents and Forms

Document Name Document Type
Form Form 159 Individuals or Households Form and Instruction
159-B_final version with OMB approval 2023.pdf Other-Screen Shots
159-B_final version with OMB approval 2023.pdf Other-Screen Shots
Form 159 Remittance Advice 159Form Original_final version with OMB approval 2023.pdf Form and Instruction
Form 159 Remittance Advice 159Form Original_final version with OMB approval 2023.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Individuals or Households	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 159	Remittance Advice	159Form Original_final version with OMB approval 2023.pdf		Yes	Yes	Fillable Fileable Signable
Other-Screen Shots			159-B_final version with OMB approval 2023.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/OMD-25 Financial Operation Information System (FOIS)	FR Citation: 81 FR 69522

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60,000	25,865	34,135
Annual IC Time Burden (Hours)	15,000	6,466	8,534
Annual IC Cost Burden (Dollars)	0	0	0

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.