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Section 73.3700(e), Reimbursement Rules and Form
TV Broadcaster Relocation Fund Reimbursement Form, FCC Form 2100, Schedule 399; Section 73.3700(e), Reimbursement Rules; Section 73.3701, Reimbursement Under the Reimbursement Expansion Act.
OMB: 3060-1178
IC ID: 204896
OMB.report
FCC
OMB 3060-1178
ICR 202206-3060-001
IC 204896
( )
Documents and Forms
Document Name
Document Type
Form FCC Form 2100, Sch
Section 73.3700(e), Reimbursement Rules and Form
Form
FCC Form 2100 Schedule 399 Instructions (clean 2019)(final).docx
Instruction
FCC Form 2100 Schedule 399 Instructions (clean 2019)(final).docx
Instruction
FCC Form 2100, Sch TV Broadcaster Relocation Fund Reimbursement Form
FCC Form 399 Oct 19 (Updated).docx
Form
FCC Form 2100, Sch TV Broadcaster Relocation Fund Reimbursement Form
FCC Form 399 Oct 19 (Updated).docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Section 73.3700(e), Reimbursement Rules and Form
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 73.3700(e) and 73.3701
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FCC Form 2100, Schedule 399
TV Broadcaster Relocation Fund Reimbursement Form
FCC Form 399 Oct 19 (Updated).docx
Yes
Yes
Fillable Fileable Signable
Instruction
FCC Form 2100 Schedule 399 Instructions (clean 2019)(final).docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,040
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
12,077
0
0
-14,323
0
26,400
Annual IC Time Burden (Hours)
23,067
0
0
-26,333
0
49,400
Annual IC Cost Burden (Dollars)
3,675,000
0
0
-3,825,000
0
7,500,000
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.