Information Collection

Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A

IC 29579 under ICR 202503-3060-023 · OMB 3060-0095.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 395-A Multi-Channel Video Programming Distributor Annual Employment Report Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A	Form and Instruction
FCC Form 395-A Multi-Channel Video Programming Distributor Annual Emplo FCC Form 395-A (March 2025).docx	Form and Instruction

IC Title:

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:

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 395-A				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: 2,500

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: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	2,500	2,500
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.

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