Form FCC Form 396-C FCC Form 396-C Multi-Channel Video Program Distribtuor EEO Program Annu

Federal Communications Commission
Washington, DC 20554

Approved by OMB
3060-1033

NOTICE

SHOULD YOU NO LONGER OPERATE THIS EMPLOYMENT UNIT, PLEASE FURNISH THE
CURRENT OPERATOR’S NAME, ADDRESS, DATE OF TRANSFER AND RETURN THE FORM
396-C IMMEDIATELY. CALL (202) 418-1450 TO OBTAIN FORMS FOR NEWLY ACQUIRED
UNITS OR IF YOU HAVE ANY EEO QUESTIONS.

RETURN THE COMPLETED FORM IN DUPLICATE INCLUDING ANSWERS TO THE
SUPPLEMENTAL INVESTIGATION SHEET (SIS), IF APPLICABLE, AS SOON AS POSSIBLE.
PURSUANT TO SECTION 76.1802 OF THE COMMISSION’S RULES, THE DUE DATE FOR
FILING FORM 396-C IS SEPTEMBER 30th OF EACH YEAR.

FCC 396-C Instructions
September 2003

Federal Communications Commission
Washington, DC 20554

Approved by OMB
3060-1033

INSTRUCTIONS FOR COMPLETING
FCC 396-C
YOU ARE STRONGLY URGED TO CONSULT THE COMMISSION’S MVPD EEO RULES
BEFORE COMPLETING THIS FORM
47 C.F.R. Section 76.71 et seq.

General Instructions
Supply the requested information for the unit. If the unit no longer exists due to consolidation with another unit, or is no longer
under your control, attach as Exhibit A an explanation and proceed to Section V.

Section I
A. In addition to the unit operator’s legal name, supply, if applicable, the name of the MSO owning or controlling the
operator.
B.

Supply the address to which you want the correspondence sent.

C.

Supply the county and state of the unit’s principal employment office.

D. A full-time employee is one who permanently works 30 or more hours per week.
E.

Insert the payroll period in July, August or September used for this year’s report.

Section II
Submit as Exhibit 1, a list of communities added or deleted from the unit using the format provided. To obtain this information,
review the prior year’s form for the unit, noting the communities then comprising the unit, and comparing that list with the
names of the communities now comprising the unit. (Not applicable to wireless MVPD units.)

Section III
Carefully answer each of the nine (9) questions by checking either Yes or No. If the answer is No, attach as Exhibit 2 an
explanation. The focus of Question Three (3) is whether cable units have engaged in broad and inclusive outreach. The
Commission does not require the targeting of certain kinds of sources or organizations. With regard to Question Five (5), we
clarify that efforts to seek out entrepreneurs should be broad enough to cover all segments of the community, and that no entity
should be excluded on the basis of race, color, religion, national origin, age or gender. See 47 C.F.R. Section 76.75.

FCC 396-C Instructions
September 2003

Federal Communications Commission
Washington, DC 20554

Approved by OMB
3060-1033

Section IV
You may attach as Exhibit 3 any additional information you believe useful in the FCC’s evaluation of your EEO efforts. There
is no requirement to provide such information.

Section V
Sign and date the form in the spaces provided. Also, print the name of the official signing as well as the title of that person.
Return the original and one copy to the Commission by September 3Øt~~• Retain a copy for your files.

Supplemental Investi2ation Sheet (SIS)
If required, attach as Exhibits 4, 5, and 6 the job descriptions requested in Part I, the responses to the questions checked in Part
II, and the EEO public file report requested in Part III.

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT
We have estimated that each response to this collection of information will take from 0.166 to 2.5 hours. Our estimate includes the
time to read the instructions, look through existing records, gather and maintain the required data, and actually complete and
review the form or response. If you have any comments on this burden estimate, or on how we can improve the collection and
reduce the burden it causes you, please e-mail them to [email protected] or send them to the Federal Communications Commission,
AMD-PERM, Paperwork Reduction Project (3060-1033), Washington, DC 20554. Please DO NOT SEND COMPLETED
APPLICATIONS TO THIS ADDRESS. Remember - you are not required to respond to a collection of information sponsored by
the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB
control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 30601033.
THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13,
OCTOBER 1, 1995, 44 U.S.C. 3507.

FCC 396-C Instructions
September 2003

Federal Communications Commission
Washington, D. C. 20554

OMB 3060-1033
September 2003

FOR FCC USE ONLY

FCC 396-C
FOR COMMISSION USE ONLY

MULTI-CHANNEL VIDEO
PROGRAM DISTRIBUTOR
EEO PROGRAM ANNUAL REPORT

FILE NO.

Read INSTRUCTIONS Before Filling
Out This Form
SECTION I - IDENTIFYING INFORMATION
A. Name of Operator

MSO Name
B. Employment Unit's Mailing Address

City

State

Zip Code

Emp. Unit ID#
Application Purpose
New Program Report

Amendment to Program Report

Supplemental Investigation Sheet (SIS) Attached
C. County and State in which unit's employment office is located

D. Category of Respondent (check applicable box)
Fewer than six (6) full-time employees during the selected payroll period: Complete Sections I, II and V.
Six (6) or more full-time employees during the selected payroll period: Complete ALL sections of the Form
396-C and the Supplemental Investigation Sheet (SIS), if attached.
E. Pay Period Covered by this Report (inclusive dates)
F. Attachments (See "Exhibit" buttons, below)

FCC 396-C
September 2003

SECTION II - COMMUNITY INFORMATION
System Communities Comprising Local Employment Unit
Ident No.

Name of Community

Location (State)

Type

Review the list of communities served on the previous year's submission and attach as Exhibit A any additions or deletions,
using the format noted above. NOTE: APPLICABLE ONLY TO CABLE OPERATORS AND NOT TO OTHER MVPD
UNITS. [EXHIBIT 1]

SECTION III- EEO POLICY AND PROGRAM REQUIREMENTS

Check YES or NO to each of the following questions. If answer to any question below is NO, attach as Exhibit 2 an
explanation. [EXHIBIT 2]
1.

Have you complied with the outreach provisions of the FCC's MVPD Equal Employment
Opportunity Rule, 47 C.F.R. Section 76.75(b), during the twelve-month period prior to
filing this form?

Yes

No

2.

Do you disseminate widely your EEO Program to job applicants, employees, and those
with whom you regularly do business?

Yes

No

3.

Do you contact organizations, media, educational institutions, and other potential sources
of applicants for referrals whenever job vacancies are available in your organization?

Yes

No

4.

Do you undertake to offer promotions to positions of greater responsibility in a
nondiscriminatory manner?

Yes

No

5.

To the extent possible, do you seek out entrepreneurs in a nondiscriminatory manner and
encourage them to conduct business with all parts of your organization?

Yes

No

6.

Do you analyze the results of your efforts to recruit, hire, promote, and use services in a
nondiscriminatory manner and use these results to evaluate and improve your EEO
program?

Yes

No

7.

Do you define the responsibility of each level of management to ensure a positive
application and vigorous enforcement of your policy of equal employment opportunity
and maintain a procedure to review and control managerial and supervisory performance?

Yes

No

8.

Do you conduct a continuing program to exclude every form of prejudice or
discrimination based upon race, color, religion, national origin, age, or sex from your
personnel policies and practices and working conditions?

Yes

No

Yes

No

9.

Do you conduct a continuing review of job structure and employment practices and
maintain positive recruitment training, job design, and other measures needed to ensure
genuine equality of opportunity to participate fully in all organizational units,
occupations, and levels of responsibility?
Exhibit No. 1

FCC 396-C (Page 2)
September 2003

Exhibit No. 2

SECTION IV - ADDITIONAL INFORMATION

You may provide as Exhibit 3 any additional information that you
believe might be useful in evaluating your efforts to comply with the
Commission's EEO provisions. There is no requirement to provide
additional data or information.

Exhibit No. 3

SECTION V - CERTIFICATION

This report must be certified as follows:
A.

By the individual owning the reporting system if individually owned;

B.

By a partner, if a partnership, or

C.

By an officer, if a corporation or association.

I certify that to the best of my knowledge, information and belief, all statements contained in this report are
true and correct.

Signature

Title

Date

Name of Respondent

Telephone Number (include area code)

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT
(U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE
OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE
(U.S. CODE, TITLE 47, SECTION 503).

EXHIBITS

FCC 396-C (Page 3)
September 2003

Approved by OMB
3060-1033

FCC FORM 396-C -- SUPPLEMENTAL INVESTIGATION SHEET
PART I - EMPLOYEE JOB DESCRIPTIONS
Give brief job descriptions for employees in the job categories specified below. The number specified in the box indicates the
number of different job descriptions that are to be submitted for each category. Job descriptions should include the position title and
a brief description of the major duties and responsibilities of the individual(s) in the position.

1.

Officials and Managers

4.

Sales Workers

7.

Operatives (semi-skilled)

2.

Professionals

5.

Office & Clerical

8.

Laborers (unskilled)

3.

Technicians

6.

Craft Workers (skilled)

9.

Service Workers

PART II - INQUIRIES CONCERNING EEO PROGRAM AND PRACTICES
Submit responses to the inquiries indicated by an "X". Responses should be brief, but must provide sufficient information to
describe the employment unit's activity and efforts in the area of inquiry.
1.

Describe the employment unit's efforts to comply with the outreach provisions of 47 C.F.R. Section 76.75(b).

2.

Describe the employment unit's efforts to disseminate widely its equal employment opportunity program to job
applicants, employees, and those with whom it regularly does business.

3.

Name the organizations, media, educational institutions, and other recruitment sources used to attract applicants
whenever job vacancies become available.

4.

Explain the employment unit's efforts to promote in a nondiscriminatory manner to positions of greater responsibility.

5.

Describe the employment unit's efforts to encourage entrepreneurs to conduct business in a nondiscriminatory
manner with all parts of its operation and provide an analysis of the results of those efforts.

6.

Report the findings of the employment unit's analysis of its efforts to recruit, hire, promote in a nondiscriminatory
manner and explain any difficulties encountered in implementing its EEO program.

7.

Describe the level of responsibility of each level of the employment unit's management with respect to application
and enforcement of its EEO policy and explain the procedure for review and control of managerial and supervisory
performance.

8.

Describe the manner in which the employment unit conducts its continuing review of job structure and employment
practicies.

9.

Other Inquiries:

FCC 396-C (Page 4)
September 2003

PART III - EEO PUBLIC FILE REPORT

Attach a copy of the EEO public file report from the previous year. MVPD units are required to place annually such
information as is required by 47 C.F.R. Section 76.1702 in their public files.

EMP UNIT ID:

MSO NAME:
OPR NAME:

FCC 396-C (Page 5)
September 2003