Information Collection

Application for the Digital-to-Analog Converter Box Coupon (Customers)

IC 44336 under ICR 200607-0660-004 · OMB unassigned.

Documents and Forms

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IC Title:

Application for the Digital-to-Analog Converter Box Coupon (Customers)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 47 CFR Title III (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,000,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21,000,000	21,000,000
Annual IC Time Burden (Hours)	5,250,000	5,250,000
Annual IC Cost Burden (Dollars)	630,000,000	630,000,000

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