Information Collection

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Section 74.793(d)

IC 31397 under ICR 201507-3060-013 · OMB 3060-0932.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0932 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 2100, Sch FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Section 74.793(d)	Form and Instruction
FCC Form 2100, Sch FCC Form 2100 Application for Media Bureau Audio and Vid 20141223125959.pdf	Form and Instruction

IC Title:

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Section 74.793(d)

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:

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 E	FCC Form 2100 Application for Media Bureau Audio and Video Service Authorization, Schedule E	20141223125959.pdf		Yes	Yes	Fillable Fileable Signable

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	50	0	200
Annual IC Time Burden (Hours)	2,025	375	0	1,650
Annual IC Cost Burden (Dollars)	1,439,600	40,000	-200,000	1,599,600

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.