Information Collection

MVPD Notice

IC 204901 under ICR 202509-3060-013 · OMB 3060-1176.

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Information Collection (IC) Details

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IC Title:	MVPD Notice	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.3700

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	300	300

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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