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

Forms and Documents

Document Name	Status
Supporting Statement OMB 3060-0017 (FCC 17-29) March 2017 - Final document.doc Supporting Statement A	2017-06-20

IC Document Collections

IC ID	Document Title	Status
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: 201706-3060-010
Status: Historical Active	Previous ICR Reference No: 201602-3060-002
Agency/Subagency: FCC	Agency Tracking No: MB
Title: FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule D (Former FCC 347)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/26/2017
	Date Received in OIRA: 06/20/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	03/31/2019
Responses	570	0	550
Time Burden (Hours)	855	0	825
Cost Burden (Dollars)	68,400	0	66,000

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Abstract: Applicants/licensees/permittees are required to file FCC Form 2100, Schedule D when applying for a Low Power Television, TV Translator or TV Booster Station License. The Commission is submitting this revision to this information collection which results from the rule provisions adopted in the FCC 17-29. On March 23, 2017, the Commission adopted the Report and Order, Channel Sharing by Full Power and Class A Stations Outside the Broadcast Television Spectrum Incentive Auction Context, GN Docket No. 12-268, MB Docket No. 03-185, MB Docket No. 15-137, FCC 17-29 (“Report and Order”). This document approved channel sharing outside of the incentive auction context between full power, Class A, Low Power Television (LPTV) and TV translator stations. Although there are no changes to the FCC Form 2100, Schedule D itself, there are changes to the substance, burden hours, and costs as described herein. 47 C.F.R. section 74.799 (previously 74.800) permits LPTV and TV translator stations to seek approval to share a single television channel with other LPTV and TV translator stations and with full power and Class A stations. Stations interested in terminating operations and sharing another station’s channel must submit FCC Form 2100 Schedule D in order to complete the licensing of their channel sharing arrangement.

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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-AI38	Final or interim final rulemaking	82 FR 18240	04/18/2017

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 17828	04/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 28057	06/20/2017
Did the Agency receive public comments on this ICR? No

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

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

	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	570	550	0	20	0	0
Annual Time Burden (Hours)	855	825	0	30	0	0
Annual Cost Burden (Dollars)	68,400	66,000	0	2,400	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: The Commission has the following program changes/increases to OMB inventory due to the final information collection requirements adopted in FCC 17-29: 20 to the number of respondents, 20 to the annual number of responses, 30 to the annual burden hours and $2,400 to the annual cost burden. There are no adjustments to this collection.

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Annual Cost to Federal Government: $72,601

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]? 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? Uncollected

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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: 06/20/2017

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