FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule F (Formerly FCC 302-CA); 47 CFR 73.3572(h)

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule F (Formerly FCC 302-CA); 47 CFR 73.6028; Section 73.3700(b)(3); Section 73.3700(h)(2) and Section 73.3572(h)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0928 can be found here:

Documents and Forms

Document Name Document Type
FCC Form 2100, Schedule F.pdf Other-Screen Shots
FCC Form 2100, Schedule F.pdf Other-Screen Shots
Schedule F License to Cover.docx Other-Screenshot
Schedule F License to Cover.docx Other-Screenshot

Information Collection (IC) Details

IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule F (Formerly FCC 302-CA); 47 CFR 73.3572(h)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.6028

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			FCC Form 2100, Schedule F.pdf		Yes	Yes	Fillable Fileable Signable
Other-Screenshot			Schedule F 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: 35	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	35	-23	58
Annual IC Time Burden (Hours)	130	15	115
Annual IC Cost Burden (Dollars)	10,238	-24,375	34,613

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.