FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)

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Documents and Forms

Document Name Document Type
Form 2100 Schedule G revised (2020).docx Other-Screen Shots

Information Collection (IC) Details

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IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.624(g)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			Form 2100 Schedule G revised (2020).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: 3,826	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,652	-1,739	9,391
Annual IC Time Burden (Hours)	22,956	-5,217	28,173
Annual IC Cost Burden (Dollars)	573,900	-130,425	704,325

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.