Information Collection

Broadcast Equal Employment Opportunity Model Program Report, FCC Form 396-A

IC 29617 under ICR 202402-3060-001 · OMB 3060-0120.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Report, FCC Form 396-A	Form and Instruction
FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Rep FCC Form 396-A.pdf	Form and Instruction
FCC Form 396-A Broadcast Equal Employment Opportunity Model Program Rep FCC Form 396-A.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form and Instruction	FCC Form 396-A	Broadcast Equal Employment Opportunity Model Program Report	FCC Form 396-A.pdf		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: 5,000

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.