View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 3060-0404	ICR Reference No: 201905-3060-007
Status: Historical Active	Previous ICR Reference No: 201901-3060-011
Agency/Subagency: FCC	Agency Tracking No: MB
Title: Form 2100, Schedule 350 – FM Translator or FM Booster Station License Application
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/13/2019
	Date Received in OIRA: 05/13/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	01/31/2022	01/31/2022
Responses	500	0	500
Time Burden (Hours)	500	0	500
Cost Burden (Dollars)	37,500	0	37,500

Annual Cost to Federal Government: $31,368

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

Agency Contact: Lisa Scalan 202 418-2700

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.