Information Collection

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)

IC 31334 under ICR 201707-3060-016 · OMB 3060-0906.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0906 can be found here:

Documents and Forms

Document Name Document Type
FCC Form 2100 Schedule G screen Shots.docx Other-Screen Shots

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule G (Former FCC Form 317); 47 C.F.R. § 73.624(g)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 73.624(g)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			FCC Form 2100 Schedule G screen Shots.docx		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: 4,696	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	9,391	9,391
Annual IC Time Burden (Hours)	28,173	28,173
Annual IC Cost Burden (Dollars)	704,325	704,325

Documents for IC

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.