Screen shots Schedule A with revised Alien ownership questions (final)

FCC Form2100 application for Media Bureau Video Service Authorization, Schedule A

OMB CONTROL NUMBER: 3063-0027 Edition Date: October 2016

Approved by OMB Estimated Time per Response: 3 – 6.25 hours

FCC NOTICE TO INDIVIDUALS REQUIRED BY THE

PAPERWORK REDUCTION ACT

We have estimated that each response to this collection of

information will take 3 - 6.25 hours. Our estimate includes the time to

read the instructions, look through existing records, gather and

maintain the required data, and actually complete and review the

form or response. If you have any comments on this burden

estimate, or on how we can improve the collection and reduce

the burden it causes you, please e-mail them to [email protected] or

send them to the Federal Communications Commission, AMDPERM,

Paperwork Reduction Project (3063-0027),

Washington, DC 20554. Please DO NOT SEND

COMPLETED APPLICATIONS TO THIS ADDRESS.

Remember - you are not required to respond to a collection of

information sponsored by the Federal government, and the

government may not conduct or sponsor this collection, unless it

displays a currently valid OMB control number of if we fail to

provide you with this notice. This collection has been assigned

an OMB control number of 3063-0027.

THE FOREGOING NOTICE IS REQUIRED BY THE

PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13,

OCTOBER 1, 1995, 44 U.S.C. Section 3507.