FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Non-substantive Change Request 3060-0906 (2018).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-04-19	Available
Supporting Statement OMB 3060-0906 (2017).docx	Supporting Statement A	Uploaded 2017-07-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31334	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)	Other-Screen Shots	Unchanged
195774	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)		Unchanged

ICR Details

OMB Control No: 3060-0906	ICR Reference No: 201804-3060-017
Status: Historical Active	Previous ICR Reference No: 201707-3060-016
Agency/Subagency: FCC	Agency Tracking No: MB
Title: FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/23/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/19/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	10/31/2020	10/31/2020
Responses	18,782	0	18,782
Time Burden (Hours)	56,346	0	56,346
Cost Burden (Dollars)	1,408,650	0	1,408,650

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Abstract: Each licensee/permittee of a digital television (DTV) station must file on an annual basis FCC Form 2100, Schedule G. Specifically, required filers include the following (but we generally refer to all such entities herein as a "DTV licensee/permittee"): A licensee of a digital commercial or noncommercial educational (NCE) full power television (TV) station, low power television (LPTV) station, TV translator or Class A TV station. A permittee operating pursuant to digital special temporary authority (STA) of a commercial or NCE full power TV station, LPTV station, TV translator or Class A TV station. Please see the non-substantive change request justification for the reason behind this change request submission to the Office of Management and Budget (OMB).

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Authorizing Statute(s): US Code: 47 USC 154, 303, 336 and 403 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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 25286	06/01/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 36767	08/07/2017
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)

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ICR Summary of Burden

table that charts list 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	18,782	18,782	0	0	0	0
Annual Time Burden (Hours)	56,346	56,346	0	0	0	0
Annual Cost Burden (Dollars)	1,408,650	1,408,650	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $277,481

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 04/19/2018

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