Section 73.3700(e), Reimbursement Rules and Form

TV Broadcaster Relocation Fund Reimbursement Form, FCC Form 2100, Schedule 399; Section 73.3700(e), Reimbursement Rules; Section 73.3701, Reimbursement Under the Reimbursement Expansion Act.

OMB: 3060-1178

IC ID: 204896

Information Collection (IC) Details

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Section 73.3700(e), Reimbursement Rules and Form
No Modified
Required to Obtain or Retain Benefits
47 CFR 73.3700(e) and 73.3701

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FCC Form 2100, Schedule 399 TV Broadcaster Relocation Fund Reimbursement Form FCC Form 399 Oct 19 (Updated).docx Yes Yes Fillable Fileable Signable
Instruction FCC Form 2100 Schedule 399 Instructions (clean 2019)(final).docx Yes No Printable Only

General Government Central Records & Statistical Mgt


1,040 0
Private Sector Businesses or other for-profits
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,077 0 0 -14,323 0 26,400
Annual IC Time Burden (Hours) 23,067 0 0 -26,333 0 49,400
Annual IC Cost Burden (Dollars) 3,675,000 0 0 -3,825,000 0 7,500,000

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