Information Collection

Low-Power Television and Translator Digital-to-Analog Conversion Program Application Form

IC 181149 under ICR 200707-0660-001 · OMB 0660-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DTV-4 Low-Power Television and Translator Digital-to-Analog Conversion Program Application Form	Form and Instruction
DTV-4 Low-Power Television and Translator Digital-to-Analog Co 0660.DTV4AppForm LPTV Program.doc Not yet available	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DTV-4	Low-Power Television and Translator Digital-to-Analog Conversion Program Application Form	0660.DTV4AppForm LPTV Program.doc	Not yet available	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 3,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.