Information Collection

Form 2100, Schedule 349 – FM Translator or FM Booster Station Construction Permit Application

IC 192568 under ICR 202605-3060-002 · OMB 3060-0405.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screen shots for 3060-0405 LMS FX Construction Permit Application (2019).docx	Other-Screen Shots
LMS Form 349 Instructions (FM Translator-Booster) (May 2019).doc	Instruction

IC Title:

Form 2100, Schedule 349 â FM Translator or FM Booster Station Construction Permit Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 74.1201 47 CFR 74.1233 47 CFR 1203

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
Instruction					Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 625

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,875	0	1,875
Annual IC Time Burden (Hours)	2,025	0	2,025
Annual IC Cost Burden (Dollars)	2,221,457	-2,312	2,223,769

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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