Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

1

Form 2100, Schedule 350

May 2019

This set of screen shots captures the FM Translator and FM Booster Station License flow in the 

LMS application. 

 

 

 

 
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

2

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

3

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

4

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

5

Form 2100, Schedule 350

May 2019

* Applicant certifies that neither the applicant nor any party to the application has or had any interest in, or connection with: (a) any broadcast 

application in any proceeding where character issues were left unresolved or were resolved adversely against the applicant or party to the application; 

or (b) any pending broadcast application in which character issues have been raised.

* Applicant certifies that, with respect to the applicant and any party to the application, no adverse finding has been made, nor has an adverse final 

action been taken by any court or administrative body in a civil or criminal proceeding brought under the provisions of any laws related to any of the 

following: any felony; mass media-related antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

6

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

7

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

8

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

9

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

10

Form 2100, Schedule 350

May 2019

* The facility was constructed as authorized in the underlying construction permit or complies with 47 C.F.R. Section 74.1251?

*Would a Commission grant of Authorization for this location be an action which may have a significant environmental effect? See 47 C.F.R. Section 

1.1306?
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

11

Form 2100, Schedule 350

May 2019
Approved by OMB

3060-0404

Estimated time per response – 1 hour

Form 2100, Schedule 350 – FM Translator or FM Booster Station License 

Application

12

Form 2100, Schedule 350

May 2019