Required Information for Exemption Petition
In order to support a claim that providing closed captions would be economically burdensome, the
petitioner must file a petition with the Federal Communications Commission (FCC) with the following
Name of the programming for which an exemption is requested. Provide the specific name(s) of
the program(s) for which you request an exemption. Petitions that request an exemption for a
channel of video programming must identify the channel for which an exemption is requested.
The nature and cost of the closed captions for the programming. Provide information about
your costs associated with closed captioning the specific program(s) for which you are
requesting an exemption, and your efforts to find companies that provide captioning at a
o Include documentation for two or more recent quotes you received from closed
captioning services to provide closed captioning specifically for your program(s).
"Recent" means quotes you obtained within one year of the date on which the petition
o For each of the quotes received, include an estimate of your annual cost to caption your
program(s). For example, multiply the cost to caption each of your program episodes by
the number of program episodes to be produced in one year.
o In addition to providing the quotes described above, if you considered buying
equipment to produce the closed captioning yourself, provide information about the
costs to purchase and maintain the equipment and for any costs associated with hiring
personnel to operate the equipment for one year.
The impact of captioning on your operation. Explain in sufficient detail the impact that having to
provide closed captioning will have on your operation, particularly the impact on your
program(s) or programming activities. For example, describe the extent to which your
program(s) might not be shown if you are required to provide captions.
Your financial resources.
o Provide information about all income and all expenses for your organization, as follows:
Provide a statement of all income (cash receipts) and all expenses (cash
disbursements) for the two most recent completed calendar or fiscal years.
Cash receipts include money received from all sources for your entire
organization, not just the video program(s). Cash disbursements include money
paid for purchases, expenses, and settlement of obligations throughout the year
for your entire organization, not just the video program(s).
List, describe, and provide the dollar amount for each type of cash receipt and
cash disbursement for the two most recent completed calendar or fiscal years.
Cash receipts and cash disbursements may each be subtotaled. You must
provide a total net dollar amount (sometimes called a surplus or deficit, or profit
or loss) for all cash receipts and all cash disbursements.
Provide audited financial statements or an accountant's compilation of financial
statements for the two most recent completed calendar or fiscal years. If such
statements are not available, provide complete federal income tax returns,
including all attachments, for your organization for the two most recent
completed calendar or fiscal years. If your organization is a sole proprietorship,
provide personal tax returns for the two most recent completed calendar or
fiscal years. Redact (black out) sensitive information, such as account numbers
and social security numbers, before submitting personal tax returns or other
o Provide information about the current assets and current liabilities of your overall
organization, as follows:
Provide a statement of all current assets and current liabilities of the overall
organization as of the last day of the two most recent completed calendar or
fiscal years. List, describe, and provide the dollar amount for each type of
current asset and current liability so listed. This requirement may be satisfied
by providing complete balance sheets as of the last days of the two most recent
completed calendar or fiscal years.
Current assets are any asset (or resource) as of the last day of the
calendar or fiscal year that can be converted into cash within the
o Examples of current assets for an individual or sole proprietor:
cash; checking accounts; savings accounts; investment accounts
including money market accounts; retirement accounts if you
are 59 years or older; certificates of deposit and bonds that
will mature within one year; stocks; and trust/endowment
account amounts available for that year.
o Examples of current assets for a corporation: cash; accounts
receivable; inventory; marketable securities; and prepaid
Current liabilities are obligations (or debts) as of the last day of the
calendar or fiscal year that must be paid within the fol owing year.
o Examples of current liabilities for an individual or sole
proprietor: any loans (principal and interest) and mortgage
payments (principal, interest, taxes, and insurance) due to be
paid within one year; the balance of any credit cards as of the
last day of the year; and unpaid bills as of the last day of the
year (utility bills, and medical bills).
o Examples of current liabilities for a corporation: accounts
payable; accrued liabilities; notes payable; current portion of
long-term debt; and taxes payable.
o Video programing distributor assistance. Verify that you have sought assistance (such as
funding or services) from your video programming distributor(s). A distributor is any TV
broadcast station, cable provider, or satellite system that shows your program(s). The
petition must state whether you have asked your distributor(s) to help you provide
captions, whether this request was accepted or rejected, and, if accepted, describe the
assistance that each distributor has offered to provide.
o Additional sponsorships. Verify that you have sought additional sponsorships (other
than from your program distributor) or other sources of revenue. The petition must
state your efforts to obtain such revenue, and whether these requests were accepted or
rejected. If rejected, state whether you do not otherwise have the means to provide
captioning. If accepted, describe the assistance that each sponsor has offered to
provide. If your organization is precluded from seeking outside assistance or you cannot
solicit and/or accept such sponsorships, provide the reason why you are unable to do
Your type of operations. Describe your overall operations.
Affidavit or declaration. Your submission must contain a detailed, full showing, supported by a
signed affidavit or declaration attesting to the truthfulness and accuracy of the information and
representations contained in your submission. An affidavit is a written statement made under
oath, before an official who is authorized to administer oaths, such as a notary public or county
clerk. A declaration is a written statement made under penalty of perjury, such as "I declare
under penalty of perjury that the information contained in this submission is true and correct."
(See 47 C.F.R. 1.16.)
Your petition may also provide other information that you deem relevant to the FCC's final
determination of your exemption request pertaining to the impact that captioning will have on your
program or programming activities, for example, the extent to which your programming might not be
shown if you are required to provide captions and any available alternatives that might constitute a
reasonable substitute for the closed captioning requirements including, but not limited to, text or
graphic display of the content of the audio portion of the programming.
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