Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund

Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund.

OMB: 3060-1223

IC ID: 224900

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Payment Instructions from the Eligible Entity Seeking Reimbursement from the TV Broadcaster Relocation Fund OMD-FO
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
47 CFR 73.3700(e)(7)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FCC Form 1876 Relocation Reimbursement Form Relocation Reimbursement form Dec 13 2016.docx Yes Yes Fillable Fileable Signable
Form FCC Form 1876 Relocation Reimbursement Form PDF Relocation Reimbursement form ver 2 ANNOTATED_Changed REED REVISION.pdf Yes Yes Fillable Fileable Signable

General Government Central Fiscal Operations

 

500 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,000 0 0 0 0 1,000
Annual IC Time Burden (Hours) 3,000 0 0 0 0 3,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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