Information Collection

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

IC 188017 under ICR 202602-3060-002 · OMB 3060-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2100 Schedule D screen Shots2-8-2016.docx	Other-Screen Shots
Schedule D License to Cover.docx	Other-Screenshot

IC Title:

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

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
Other-Screen Shots					Yes	Yes	Fillable Fileable Signable
Other-Screenshot					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: 400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	604	604
Annual IC Cost Burden (Dollars)	48,300	48,300

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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