FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

Documents and Forms

Document Name Document Type
Form 2100 Schedule D screen Shots2-8-2016.docx Other-Screen Shots
Form 2100 Schedule D screen Shots2-8-2016.docx Other-Screen Shots
Schedule D License to Cover.docx Other-Screenshot
Schedule D License to Cover.docx Other-Screenshot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)	Agency IC Tracking Number:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			Form 2100 Schedule D screen Shots2-8-2016.docx		Yes	Yes	Fillable Fileable Signable
Other-Screenshot			Schedule D License to Cover.docx		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: 400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	400	0	400
Annual IC Time Burden (Hours)	604	4	600
Annual IC Cost Burden (Dollars)	48,300	24,300	24,000

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.