Information Collection

FCC Form 2100, Application for Media Bureau Audio and Video Service Authorization, Schedule F (Formerly FCC 302-CA); 47 CFR 73.3572(h)

IC 31385 under ICR 202403-3060-012 · OMB 3060-0928.

Documents and Forms

Document Name Document Type
Convert to Class A Form (Schedule F)(final)(2023).pdf Other-Screen Shots
Convert to Class A Form (Schedule F)(final)(2023).pdf 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 F (Formerly FCC 302-CA); 47 CFR 73.3572(h)	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 73.6028, 73.3580(c), 47 CFR 73.6030(c), 73.3700(h)(4)(e) 47 CFR 73,3572(h), 73.3700(h) 47 CFR 73.3700(b)(3), (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screen Shots			Convert to Class A Form (Schedule F)(final)(2023).pdf		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: 58	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	83	48	35
Annual IC Time Burden (Hours)	230	100	130
Annual IC Cost Burden (Dollars)	20,863	10,625	10,238

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.