Information Collection

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

IC 224900 under ICR 201901-3060-007 · OMB 3060-1223.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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 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 %

table that charts list of burden
	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

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.