Information Collection

Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund - State, Local & Tribal Govt

IC 224901 under ICR 202205-3060-023 · OMB 3060-1223.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Payment Instructions - Eligible Entity Seeking Reimbursement - TV Broadcaster Relocation Fund - State, Local & Tribal Govt

Agency IC Tracking Number:

OMD-FO

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.3700(e)(7)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	175	-1,075	1,250
Annual IC Time Burden (Hours)	875	-5,375	6,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.