Broadcast Equal Employment Opportunity Model Program Report, FCC Form 395-A

Broadcast Equal Employment Opportunity Model Program Report, FCC Form 396-A

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0120 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Report, FCC Form 395-A Form and Instruction
FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Rep FCC Form 396-A (2009).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Broadcast Equal Employment Opportunity Model Program Report, FCC Form 395-A	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
Form and Instruction	FCC Form 396-A	Broadcast Equal Employment Opportunity Model Program Report	FCC Form 396-A (2009).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	5,000	5,000
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.