Section 73.3700(e), Reimbursement Rules and Form

TV Broadcaster Relocation Fund Reimbursement Form, FCC Form 2100, Schedule 399; Section 73.3700(e), Reimbursement Rules

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Documents and Forms

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Information Collection (IC) Details

IC Title:	Section 73.3700(e), Reimbursement Rules and Form	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 73.3700(e)

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: 950	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
Annual Number of Responses for this IC	11,400	11,400
Annual IC Time Burden (Hours)	15,550	15,550
Annual IC Cost Burden (Dollars)	2,812,500	2,812,500

Documents for IC

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