Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund (Business for Profit)

Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1223 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 1876 Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund (Business for Profit) Form and Instruction
Documentation on Form 1876 data collection in CORES.docx Other-Screenshot FCC Form 1876 - COR
FCC Form 1876 Payment Instructions from the Eligible Entity Seeking Re FCC_Form_1876_FRN_(pdf).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund (Business for Profit)	Agency IC Tracking Number:	OMD-FO

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)(7)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 1876	Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund	FCC_Form_1876_FRN_(pdf).pdf		Yes	Yes	Fillable Fileable Signable
Other-Screenshot FCC Form 1876 - CORES			Documentation on Form 1876 data collection in CORES.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: 1,250	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,250	250	1,000
Annual IC Time Burden (Hours)	6,250	3,250	3,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.