Information Collection

Form 2100, Schedule 396 – Broadcast Equal Employment Opportunity Program Report

IC 29611 under ICR 201902-3060-018 · OMB 3060-0113.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0113 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 396 Form 2100, Schedule 396 – Broadcast Equal Employment Opportunity Program Report	Form and Instruction
Form 396 Instructions LMS (February 2019).doc	Instruction
Form 396 LMS EEO REPORT (Screen Shots) - (February 2019).docx	Other-Screen Shots
FCC Form 396 Broadcast Equal Employment Opportunity Program Report FCC 396.pdf	Form and Instruction

IC Title:

Form 2100, Schedule 396 â Broadcast Equal Employment Opportunity Program Report

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 396	Broadcast Equal Employment Opportunity Program Report	FCC 396.pdf	Yes	Yes	Fillable Fileable
Instruction			Form 396 Instructions LMS (February 2019).doc	Yes	No	Printable Only
Other-Screen Shots			Form 396 LMS EEO REPORT (Screen Shots) - (February 2019).docx	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,001

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,001	2,001
Annual IC Time Burden (Hours)	3,002	3,002
Annual IC Cost Burden (Dollars)	300,300	300,300

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.