FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

Forms and Documents

Document Name	Status
Supporting Statement OMB 3060-0017 February 2016 (FCC 15-175)(updated).doc Supporting Statement A	2016-02-08

IC Document Collections

IC ID	Document Title	Status
29447	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347) Other-Screen Shots	Modified
188017	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347) Other-Screen Shots	Modified

ICR Details

OMB Control No: 3060-0017	ICR Reference No: 201602-3060-002
Status: Historical Active	Previous ICR Reference No: 201502-3060-002
Agency/Subagency: FCC	Agency Tracking No: MB
Title: FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/21/2016
	Date Received in OIRA: 02/08/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	09/30/2017
Responses	550	0	450
Time Burden (Hours)	825	0	675
Cost Burden (Dollars)	66,000	0	54,000

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Abstract: On October 10, 2014, the Commission released a Notice of Proposed Rulemaking, In the Matter of Amendment of Parts 73 and 74 of the Commission’s Rules to Establish Rules for Digital Low Power Television and Television Translator Stations, MB Docket No. 03-185, FCC 14-151. This document contains proposed rules for channel sharing by and between low power television and TV translator stations. FCC Form 2100, Schedule D, Application for Media Bureau Audio and Video Service Authorization, will be modified to allow applicants to propose that their stations be licensed on a shared basis. Basically, this is the license form that the Commission uses to license LPTV and TV translator stations and we are proposing new rules to allow these stations to share a single channel. The applicants will propose a shared arrangement using the license form. Question 4 of the proposed FCC Form 347 (new name - Form 2100, Schedule D) has a new entry where the stations can state that they are proposing a shared facility and where they can report the other channel sharing station(s). On December 17, 2015, the Commission adopted a final rulemaking, FCC 15-175. In the final rulemaking, the proposed information collections for FCC Form 2100, Schedule D were adopted as proposed. The Office of Management and Budget issued a preapproval at the NPRM stage on January 30, 2015. The Commission is now seeking final approval for the information collections in FCC 15-175.

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Authorizing Statute(s): US Code: 47 USC 154(i), 301, 303,307, 308, 309 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AI38	Final or interim final rulemaking	81 FR 5086	02/01/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 70824	11/28/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6512	02/08/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	550	450	0	100	0	0
Annual Time Burden (Hours)	825	675	0	150	0	0
Annual Cost Burden (Dollars)	66,000	54,000	0	12,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission has the following program changes/increases to OMB inventory due to the final information collection requirements adopted in FCC 15-175: 100 to the number of respondents, 100 to the annual number of responses, 150 to the annual burden hours and $12,000 to the annual cost burden. There are no adjustments to this collection.

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Annual Cost to Federal Government: $68,050

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/08/2016

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