Information Collection

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule H

IC 30840 under ICR 201911-3060-006 · OMB 3060-0754.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0754 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 2100 Sche FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule H Form
FCC Form 2100 Sche Form 2100, Application for Media Bureau Audio and Video FCC Form 2100 Schedule H (2019) updated (November 2019)(final)- revised 12.10.19.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule H	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 2100 Schedule H	Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule H	FCC Form 2100 Schedule H (2019) updated (November 2019)(final)- revised 12.10.19.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: 1,758	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: 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	1,758	-6,946	8,704
Annual IC Time Burden (Hours)	17,580	-86,868	104,448
Annual IC Cost Burden (Dollars)	1,054,800	-4,167,600	5,222,400

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.