FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Report

ICR 200309-3060-007

OMB: 3060-0120

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3060-0120 200309-3060-007
Historical Active 200302-3060-006
FCC
FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Report
Extension without change of a currently approved collection   No
Regular
Approved without change 12/01/2003
Retrieve Notice of Action (NOA) 09/26/2003
OMB approval is given to not display the expiration date on the form associated with this data collection.
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006 11/30/2003
5,000 0 5,000
5,000 0 5,000
0 0 0

The FCC Form 396-A is filed in conjunction with applications for construction permits and assignments and transfers of broadcast station licenses. It is designed to assist the applicant in establishing an effective EEO program for its station. The data are used by FCC staff to determine that stations will provide broad and inclusive outreach measures to ensure equal employment opportunity to all qualified persons without regard to race, color, religion, sex or national origin.

None
None


No

1
IC Title Form No. Form Name
FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Report FCC-396-A

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 5,000 5,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/26/2003


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