FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Section 74.793(d)

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Sections 73.3700(b)(1)(i)-(v) and (vii),(b)(2)(i) and (ii); 47 CFR Sec

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0932 can be found here:

Documents and Forms

Document Name Document Type
Form 2100 Schdedule E screen Shots with rvised alien ownership seection (1).docx Other-Screenshot
Clean Form 2100 10.14.16 - Scedules A, C and E (instructions)-3.docx Instruction

Information Collection (IC) Details

IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule E (Former FCC Form 301-CA); 47 CFR Section 74.793(d)	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 74.793(d), 73.3700(b), 73.6028 47 CFR 73.3550

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot			Form 2100 Schdedule E screen Shots with rvised alien ownership seection (1).docx		Yes	Yes	Fillable Fileable Signable
Instruction			Clean Form 2100 10.14.16 - Scedules A, C and E (instructions)-3.docx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 373	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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	373	0	373
Annual IC Time Burden (Hours)	3,073	0	3,073
Annual IC Cost Burden (Dollars)	2,167,451	149,676	2,017,775

Documents for IC

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.