Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

1

Form 2100, Schedule 301

September 2019

This set of screen shots captures the FM Commercial Construction Permit flow in the LMS 

application.

 

 

 

 
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

2

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

3

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

4

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

5

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

6

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

7

Form 2100, Schedule 301

September 2019

 Broadcast Incubator Program

 * Is the proposed facility the subject of an incubation proposal or a ‘reward’ waiver request 

 under the Commission’s Broadcast Incubator Program?

Multiple Ownership

* Is the applicant or any party to the application the holder of an attributable radio joint sales agreement or an 

attributable radio time brokerage agreement in the same market as the station subject to this application?

Yes No ‹‹ Clear

* Applicant certifies that the proposed facility complies with the Commission's multiple ownership rules.

Yes No ‹‹ Clear

* Applicant certifies that the proposed facility: (a) does not present an issue under the Commission's policies 

relating to media interests of immediate family members; (b) complies with the Commission's polices relating to 

future ownership interests; and (c) complies with the Commission's restrictions relating to the insulation and nonparticipation of non-party investors and creditors.

Yes No ‹‹ Clear
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

8

Form 2100, Schedule 301

September 2019

* Does the Applicant claim status as an "eligible entity," that is, an entity that qualifies as a small business under 

the Small Business Administration's size standards for its industry grouping (as set forth in 13 C.F.R. § 121.201), and 

holds: (a) 30 percent or more of the stock or partnership interests and more than 50 percent of the voting power 

of the corporation or partnership that will own the media outlet; or (b) 15 percent or more of the stock or 

partnership interests and more than 50 percent of the voting power of the corporation or partnership that will 

own the media outlet, provided that no other person or entity owns or controls more than 25 percent of the 

outstanding stock or partnership interests; or (c) more than 50 percent of the voting power of the corporation that 

will own the media outlet (if such corporation is a publicly traded company)?

Yes No ‹‹ Clear
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

9

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

10

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

11

Form 2100, Schedule 301

September 2019

* Licensee certifies that, with respect to the licensee and each 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 mediarelated antitrust or unfair competition; fraudulent statements to another governmental unit; or discrimination.

* If the applicant proposes to employ five or more full-time employees, applicant certifies that it is filing 

simultaneously with this application a Broadcast EEO Model Program Report.
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

12

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

13

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

14

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

15

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

16

Form 2100, Schedule 301

September 2019
Approved by OMB

3060-0027

Estimated hours per response: 3 – 6.25

Form 2100, Schedule 301 - FM STATION CONSTRUCTION PERMIT 

APPLICATION

17

Form 2100, Schedule 301

September 2019