Information Collection

Applicationf for an FM Translator or FM Booster Station License

IC 182446 under ICR 200710-3060-013 · OMB 3060-0404.

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IC Title:

Applicationf for an FM Translator or FM Booster Station License

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:

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

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 225

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	225	100	125
Annual IC Time Burden (Hours)	225	100	125
Annual IC Cost Burden (Dollars)	28,125	28,125	0

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