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OMB Control No: 3060-1178	ICR Reference No: 201910-3060-003
Status: Historical Active	Previous ICR Reference No: 201906-3060-011
Agency/Subagency: FCC	Agency Tracking No: MB
Title: 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.
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/07/2019
	Date Received in OIRA: 10/04/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	07/31/2022	07/31/2022
Responses	52,800	0	52,800
Time Burden (Hours)	98,800	0	98,800
Cost Burden (Dollars)	15,000,000	0	15,000,000

Abstract: This submission is being made to the Office of Management and Budget (OMB) for the approval of new information collection requirements contained in the Commission’s LPTV , TV Translator, and FM Reimbursement Report and Order, FCC 19-21, adopted on March 15, 2019. The LPTV, TV Translator, and FM Reimbursement Report and Order adopts rules pursuant to Congressional directive, in the 2018 Reimbursement Expansion Act (REA), that the Commission reimburse certain Low Power Television (LPTV) and television translator (TV translator) stations (together LPTV/translator stations), and FM broadcast stations (FM stations), for costs incurred as a result of the Commission’s broadcast television spectrum incentive auction and subsequent television channel repacking. In the REA, Congress provided additional funding for the TV Broadcaster Relocation Fund (Reimbursement Fund) and expanded the list of entities eligible to receive reimbursement for costs incurred as a result of the reorganization of broadcast television spectrum. Eligible entities now include LPTV/translator and FM stations. This submission is being made to implement the Commission’s directive to add LPTV, TV Translators, and FM broadcast stations to this information collection. In the LPTV, TV Translator, and FM Reimbursement Report and Order, the Commission delegated to the Media Bureau the authority to modify current FCC Form 2100, Schedule 399, TV Broadcaster Relocation Fund Reimbursement Form (Reimbursement Form), to add all newly eligible LPTV, TV Translator, and FM broadcast entities. The Media Bureau has, therefore, added questions and certifications to the Reimbursement Form to accommodate these newly eligible broadcast entities. Specifically, in order to protect the Reimbursement Fund against waste, fraud, and abuse, all newly eligible broadcast entities that propose to request reimbursement for eligible expenses must certify on the Reimbursement Form that they meet the specified eligibility criteria (Eligibility Certification), and provide information regarding their affected broadcasting equipment and the estimated costs eligible for reimbursement. Please see the non-substantive change request justification for the reason behind this change request submission to the Office of Management and Budget (OMB) for review and approval.

Authorizing Statute(s): US Code: 47 USC 1452, 151, 154, 157
US Code: 47 USC 309, 1452

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AJ82	Final or interim final rulemaking	84 FR 11233	03/26/2019

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 17829	06/25/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 31066	06/28/2019
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Section 73.3700(e), Reimbursement Rules and Form
Section 73.3700(e), Reimbursement Rules and Form	FCC Form 2100, Schedule 399

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	52,800	52,800
Annual Time Burden (Hours)	98,800	98,800
Annual Cost Burden (Dollars)	15,000,000	15,000,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are program changes to this collection of +2,500 to the number of respondents, +30,000 to the annual number of responses, +67,700 to the annual burden hours and $9,375,000 to the annual burden cost which are all due from the information collection requirements adopted in FCC 19-21.

Annual Cost to Federal Government: $9,423,568

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 Scanlan 202 418-2700

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