Application for Media Bureau Audio and Video Service Authorization, FCC Form 2100, Schedule D (Former FCC 347), Sections 74.787(a)(1)(ii) and (a)(2)(ii); and 74.799

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement OMB 3060-0017 (April 2026) FCC 25-84.docx	Supporting Statement A	Uploaded 2026-06-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29447	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)	Other-Screen Shots	Modified
188017	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)	Other-Screen Shots	Modified

ICR Details

OMB Control No: 3060-0017	ICR Reference No: 202606-3060-011
Status: Received in OIRA	Previous ICR Reference No: 202602-3060-002
Agency/Subagency: FCC	Agency Tracking No: MB
Title: Application for Media Bureau Audio and Video Service Authorization, FCC Form 2100, Schedule D (Former FCC 347), Sections 74.787(a)(1)(ii) and (a)(2)(ii); and 74.799
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/17/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	02/28/2029
Responses	1,105	805
Time Burden (Hours)	1,658	1,208
Cost Burden (Dollars)	132,600	96,600

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Abstract: On December 19, 2025, the Commission released a Report and Order, FCC 25-84, concerning the advancement of the Class A, LPTV and TV translator services (LPTV Service). Two of the rules adopted included the requirement that stations file an application for modification of license (FCC Form 2100, Schedule D) – 74.787(a)(1)(ii) and 74.787(a)(2)(ii) when seeking to change their community of license or when seeking to change their designation from one to the other service. This submission is being made to OMB for approval of the modified FCC Form 2100, Schedule D.

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Authorizing Statute(s): US Code: 47 USC 154(i), 301, 303,307, 308, 309 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AL86	Final or interim final rulemaking	91 FR 2861	01/26/2026

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 20436	04/16/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 36597	06/17/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)
FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,105	805	0	300	0	0
Annual Time Burden (Hours)	1,658	1,208	0	450	0	0
Annual Cost Burden (Dollars)	132,600	96,600	0	36,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are program changes to this information collection requirements due to the changes to the rules to require that license modification applications be filed whenever an LPTV or TV translator station seeks to change its community of license or to change its service designation adopted in FCC 25-84. The program changes are +300 to the number of respondents, +300 to the annual number of responses, +450 to the annual burden hours and +$36,000 to the annual cost. There are no adjustments to this collection.

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Annual Cost to Federal Government: $180,811

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/17/2026

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