Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A

Forms and Documents

Document Name	Status
Form FCC Form 395-A Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A Form and Instruction	Modified
Public Notice for FCC Forms 395-A and 395-B (August 2008).doc Supplementary Document	2008-08-29
Supporting Statement OMB 3060-0095 (with EEO-1 2008).doc Supporting Statement A	2008-08-26

IC Document Collections

IC ID	Document Title	Status
29579	Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A Form and Instruction	Modified

ICR Details

OMB Control No: 3060-0095	ICR Reference No: 200808-3060-024
Status: Historical Active	Previous ICR Reference No: 200802-3060-010
Agency/Subagency: FCC	Agency Tracking No: MB
Title: Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/08/2008
	Date Received in OIRA: 08/29/2008
Terms of Clearance: OMB approves this collection but FCC should not initiate using or collecting information with Form 395-A or Form 395-B until FCC decides whether the data collected from each form will be held confidential or not on an individual basis. Following such a decision, the Commission should consult with OMB prior to initiating usage of these forms to determine whether the decision regarding confidentiality results in a substantive change to the collections warranting formal review by OMB of the proposed revisions. If the Commission does not consult with OMB prior to initiating usage of these forms, OMB may request under 5 CFR 1320.10(f) for the Commission to submit these collections for formal review prior to their expiration date.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved	10/31/2008
Responses	2,500	0	2,500
Time Burden (Hours)	2,500	0	2,200
Cost Burden (Dollars)	0	0	0

---

Abstract: FCC Form 395-A is used to assess industry trends and report to Congress. The report identifies employees by gender, race, color and/or national origin in fifteen job categories. FCC Form 395-A contains a grid which collects data on full and part-time status of the position.

---

Authorizing Statute(s): US Code: 47 USC 154(i) and 634 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 60667	10/25/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 50967	08/29/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Multi-Channel Video Programming Distributor Annual Employment Report, FCC Form 395-A	FCC Form 395-A	Multi-Channel Video Programming Distributor Annual Employment Report

---

ICR Summary of Burden

	Total Approved	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	2,500	2,500	0	0	0	0
Annual Time Burden (Hours)	2,500	2,200	0	300	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There is a program change of +300 hours to the total annual burden hours which is due to the revisions to FCC Form 395-A (the incorporation of the racial and employment categories of the EEO-1 into FCC Form 395-A per OMB's request). There are no adjustments to this information collection.

---

Annual Cost to Federal Government: $41,353

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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: 08/29/2008

---