Information Collection

FM Booster Program Origination Notification; Form 2100, Schedule 336; 47 CFR 74.1206

IC 275123 under ICR 202505-3060-009 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 2100, Sch FM Booster Program Origination Notification; Form 2100, Schedule 336; 47 CFR 74.1206	Form
Form FCC Form 2100, Sch FM Booster Program Origination Notification FM Booster Program Origination Notification; Form 2100, Schedule 336; 47 CFR 74.1206	Form
FCC Form 2100, Sch FM Booster Program Origination Notification FCC Form 336 (Program Originating Booster Notif Form) 4-25-25.docx	Form
FCC Form 2100, Sch FM Booster Program Origination Notification FCC Form 336 (Program Originating Booster Notif Form) 4-25-25.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 74.1206, 73.3526, 73.3527, 47 CFR 74.1204(f)

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	FCC Form 2100, Schedule 336				Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,260

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,260	1,260
Annual IC Time Burden (Hours)	1,350	1,350
Annual IC Cost Burden (Dollars)	568,500	568,500

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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