Form 2100, Schedule 350 – FM Translator or FM Booster Station License Application

ICR 201905-3060-007

OMB: 3060-0404

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2019-05-13
Supporting Statement A
2019-05-13
ICR Details
3060-0404 201905-3060-007
Active 201901-3060-011
FCC MB
Form 2100, Schedule 350 – FM Translator or FM Booster Station License Application
No material or nonsubstantive change to a currently approved collection   No
Delegated
Approved without change 05/13/2019
Retrieve Notice of Action (NOA) 05/13/2019
  Inventory as of this Action Requested Previously Approved
01/31/2022 01/31/2022 01/31/2022
500 0 500
500 0 500
37,500 0 37,500

FCC Form 2100, Schedule 350 is required to be filed when applying for an FM Translator or FM Booster station license. The data is used by FCC staff to confirm that the station has been built to terms specified in the outstanding construction permit and for issuance of the license to operate the station. Please see the non-substantive justification for the reason behind the change request submission to the Office of Management (OMB) for review and approval.

US Code: 47 USC 154(i), 307, 308 and 309 Name of Law: Communications Act of 1934, as amended
  
None

Not associated with rulemaking

  83 FR 56841 11/14/2018
83 FR 56841 11/14/2018
No

  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 500 500 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 37,500 37,500 0 0 0 0
No
No

$31,368
No
    No
    No
No
No
No
Uncollected
Lisa Scalan 202 418-2700

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/13/2019


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