Information Collection

Application for an FM Translator or FM Booster Station License

IC 183777 under ICR 201901-3060-011 · OMB 3060-0404.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0404 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 350 Application for an FM Translator or FM Booster Station License	Form and Instruction
FCC Form 350 Application for an FM Translator or FM Booster Station L FCC Form 350 (2008).pdf	Form and Instruction

IC Title:

Application for an FM Translator or FM Booster Station License

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 350	Application for an FM Translator or FM Booster Station License	FCC Form 350 (2008).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	75	175
Annual IC Time Burden (Hours)	250	75	175
Annual IC Cost Burden (Dollars)	18,750	5,625	13,125

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.