Low-Power Television and Translator Supplemental Form

Low-Power Television and Translator Upgrade Program

Documents and Forms

Document Name Document Type
Form DTV-5 Low-Power Television and Translator Supplemental Form Form and Instruction
DTV-5 Low-Power Television and Translator Upgrade Program Supp 0660.New.UpgradeProgApplForm.031009.doc Not available Form and Instruction

Information Collection (IC) Details

IC Title:	Low-Power Television and Translator Supplemental Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DTV-5	Low-Power Television and Translator Upgrade Program Supplemental Application Form	0660.New.UpgradeProgApplForm.031009.doc	Not available	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,250	Number of Respondents for Small Entity: 1,000

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,250	1,250
Annual IC Time Burden (Hours)	1,563	1,563
Annual IC Cost Burden (Dollars)	0	0

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.