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

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

Information Collection (IC) Details

View Information Collection (IC)

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

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 %

	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

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.