Application for an FM Translator or FM Booster Station License

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Information Collection (IC) Details

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IC Title:	Application for an FM Translator or FM Booster Station License	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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

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: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	225	0	-125	350
Annual IC Time Burden (Hours)	225	0	-125	350
Annual IC Cost Burden (Dollars)	28,125	2,125	0	26,000

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