FCC Form 2100, Schedule A - Application for Media Bureau Video Service Authorization; 47 Sections 73.3700(b)(1).....

AM Station Construction Permit Application, FCC Form 2100, Schedule 301-AM; FCC Form 2100, Schedule A - Application for Media Bureau Video Service Authorization; 47 Sections 73.3700(b)(1) and (b)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0027 can be found here:

Documents and Forms

Document Name Document Type
LMS Form 301 (Commercial AM - Combined) Instructions (July 2023).docx Instruction
LMS Form 301 (Commercial AM - Combined) Instructions (July 2023).docx Instruction
LMS 301-AM Screen Shots - 7-12-23.docx Other-Screen Shots
LMS 301-AM Screen Shots - 7-12-23.docx Other-Screen Shots
LMS FM Commercial Construction Permit Application form screen capture 9-6-19.docx Other-Screen Shots
LMS FM Commercial Construction Permit Application form screen capture 9-6-19.docx Other-Screen Shots
FCC Form 2100 10.14.16 - Scedules A C and E (instructions) (final) - INSTRUCTIONS.docx Instruction
FCC Form 2100 10.14.16 - Scedules A C and E (instructions) (final) - INSTRUCTIONS.docx Instruction
Screen shots Schedule A with revised Alien ownership questions (final).docx Other-Screen shots
Screen shots Schedule A with revised Alien ownership questions (final).docx Other-Screen shots
Screen shots FCC Form 2100, Schedule A 4-12-2021.docx Other-Screen Shots
Screen shots FCC Form 2100, Schedule A 4-12-2021.docx Other-Screen Shots

Information Collection (IC) Details

IC Title:	FCC Form 2100, Schedule A - Application for Media Bureau Video Service Authorization; 47 Sections 73.3700(b)(1).....	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 73.626(c) 47 CFR 73.3700(b)(1) and (2), 73.3571 47 CFR 73.3573, 73.3580, 73.626(f)(2)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	LMS Form 301 (Commercial AM - Combined) Instructions (July 2023).docx	Yes	No	Printable Only
Other-Screen Shots	LMS 301-AM Screen Shots - 7-12-23.docx	Yes	Yes	Fillable Fileable Signable
Other-Screen Shots	LMS FM Commercial Construction Permit Application form screen capture 9-6-19.docx	Yes	Yes	Fillable Fileable Signable
Instruction	FCC Form 2100 10.14.16 - Scedules A C and E (instructions) (final) - INSTRUCTIONS.docx	Yes	No	Printable Only
Other-Screen shots	Screen shots Schedule A with revised Alien ownership questions (final).docx	Yes	Yes	Fillable Fileable Signable
Other-Screen Shots	Screen shots FCC Form 2100, Schedule A 4-12-2021.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: 1,546	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	6,218	6,218
Annual IC Cost Burden (Dollars)	31,154,194	31,154,194

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.