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 2020.docx Supporting Statement A	2020-03-31

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: 202003-3060-019
Status: Active	Previous ICR Reference No: 201706-3060-010
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: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/31/2020
	Date Received in OIRA: 03/31/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	07/31/2020
Responses	800	0	570
Time Burden (Hours)	1,200	0	855
Cost Burden (Dollars)	48,000	0	68,400

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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 DTV Transition. 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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5210	01/29/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5210	01/29/2020
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	800	570	0	0	230	0
Annual Time Burden (Hours)	1,200	855	0	0	345	0
Annual Cost Burden (Dollars)	48,000	68,400	0	0	-20,400	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There are no program changes to this collection. There are adjustments to this collection as follows: +230 to the number of respondents, +230 to the number of annual responses, +345 to the annual burden hours and -$20,400 to the annual cost.

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Annual Cost to Federal Government: $110,344

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? 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: 03/31/2020

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