Information Collection

FCC Form 2100, Schedule A - Application for Media Bureau Video Service Authorization; 47 Sections 73.3700(b)(1).....

IC 29468 under ICR 202607-3060-016 · OMB 3060-0027.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LMS Form 301 (Commercial AM - Combined) Instructions (July 2023).docx	Instruction
LMS 301-AM Screen Shots - 7-12-23.docx	Other-Screen Shots
FCC Form 2100 - Scedules A C and E (instructions) (final) - INSTRUCTIONS.docx	Instruction
Screen shots FCC Form 2100, Schedule A 4-12-2021.docx	Other-Screen Shots

IC Title:

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 73.3700(b)(1) and (2), 73.3571 47 CFR 73.3573, 73.3580, 73.626(f)(2) 47 CFR 73.626(c)

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Yes	No	Printable Only
Other-Screen Shots	Yes	Yes	Fillable Fileable Signable
Instruction	Yes	No	Printable Only
Other-Screen Shots	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: 1,546

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	6,218	0	6,218
Annual IC Cost Burden (Dollars)	30,710,054	-444,140	31,154,194

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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