Information Collection

Certification of TV Broadcast Licensee Technical Information in Advance of Incentive Auction

IC 214897 under ICR 201502-3060-008 · OMB 3060-1206.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 2100, Sch Certification of TV Broadcast Licensee Technical Information in Advance of Incentive Auction	Form and Instruction
FCC Form 2100, Sch Pre-Auction Technical Certification Form FCC Form 2100 Schedule 381 Pre-Auction Techincal Certification (November 2014).docx	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 2100, Schedule 381	Pre-Auction Technical Certification Form	FCC Form 2100 Schedule 381 Pre-Auction Techincal Certification (November 2014).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,170

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,170	2,170
Annual IC Time Burden (Hours)	2,170	2,170
Annual IC Cost Burden (Dollars)	542,500	542,500

Documents for IC

table that charts IC Documents
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.