Information Collection

Annual DTV Report

IC 195774 under ICR 201110-3060-004 · OMB 3060-0906.

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Information Collection (IC) Details

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IC Title:	Annual DTV Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.624(g)

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: 4,695	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,391	40	9,351
Annual IC Time Burden (Hours)	28,173	120	28,053
Annual IC Cost Burden (Dollars)	704,325	3,000	701,325

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