Form 2100, Schedule 396 – Broadcast Equal Employment Opportunity Program Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0113 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 396 Form 2100, Schedule 396 – Broadcast Equal Employment Opportunity Program Report Form and Instruction
lms-396-eeo-instructions.pdf Instruction
2100-396_screenshot.pdf Other-Screen Shots
FCC Form 396 Broadcast Equal Employment Opportunity Program Report FCC 396.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 2100, Schedule 396 – Broadcast Equal Employment Opportunity Program Report	Agency IC Tracking Number:	EB

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 396	Broadcast Equal Employment Opportunity Program Report	FCC 396.pdf	Yes	Yes	Fillable Fileable
Instruction			lms-396-eeo-instructions.pdf	Yes	No	Printable Only
Other-Screen Shots			2100-396_screenshot.pdf	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: 2,960	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,960	959	2,001
Annual IC Time Burden (Hours)	4,336	1,334	3,002
Annual IC Cost Burden (Dollars)	666,000	365,700	300,300

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.