FCC Form 445, CALEA Monitoring Report for Broadband and VOIP Services (Draft)

Draft FCC Form 445 OMB 3060-0809

October 2006

FEDERAL COMMUNICATIONS COMMISSION

CALEA Monitoring Report for Broadband and VoIP Services

1. Name ________________________________________________

2. State ________________________________________________

3. FCC Registration No. ________________________________________________

4. Filer 499 ID ________________________________________________

5. Affiliate Name(s) ________________________________________________

6. Parent Company ________________________________________________

7. Contact Information:

First Name _______________ Last Name ______________________

Title ________________________________________________

Address 1 ________________________________________________

Address 2 ________________________________________________

City _____________________________ State ___ Zip______

Phone ________________________ Fax ___________________

Email ________________________________________________

8. Network will be in compliance by 5/14/07

Network Facilities Affected:

Wireline

Terrestrial Wireless

Cable

Satellite

Other ____________________________________

9. Network will not be in compliance by 5/14/07

Network Facilities Affected:

Wireline

Terrestrial Wireless

Cable

Satellite

Other

Expected compliance date ___________________________________

Reason(s) for delay:

Equipment

Network installation problems

Manufacturer support problems

Other ____________________________________

10. Compliance Method

Industry Standard(s) ____________________________________

Proprietary/Custom Solution(s)

Department of Justice (DOJ) Consultation

Trusted Third Party Used

Name of Trusted Third Party ____________________________________

11. Delaying Items

a. Equipment ________________________________________________

(Model Type/ ________________________________________________

Manufacture) ________________________________________________

________________________________________________

________________________________________________

________________________________________________

b. Network Installation ________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

c. Manufacturer Support ________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

d. Other ________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________ ________________________________________________

________________________________________________

________________________________________________

e. Mediation Actions Taken __________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________ ________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

_______________________________________________

12. Certification (To be signed by an office of the reporting entity)

I certify that I am an officer of the above name reporting entity, that I have examined the foregoing CALEA Implementation Report and, to the best of my knowledge, information, and belief, all statements of fact contained in the Report are true and that said Report is an accurate statement of the affairs of the above named company.

Signature __________________________________________

Printed name of officer __________________________________________

Title/position __________________________________________

Business telephone number __________________________________________

Email __________________________________________

Date __________________________________________

Glossary

Wireline	Terrestrial transmission facilities including optical and wire based technologies.
Terrestrial Wireless	Terrestrial wireless transmission facilities.
Cable	Coax based transmission facilities.
Satellite	Satellite based transmission facilities.
Industry Standard(s)	Publicly available technical requirements or standards adopted by an industry association or standard-setting organization, or by the Commission. See 47 U.S.C. § 107(a); see also 47 C.F.R. § 1.2006(a).
Proprietary/Custom Solution)	Non-standard or proprietary procedures and protocols used to implement CALEA requirements.
Trusted Third Party	A separate company that has implemented CALEA requirements and is used to meet the CALEA obligations of the named company or entity. See Communications Assistance for Law Enforcement Act and Broadband Access and Services, ET Docket No. 04-295, Second Report and Order and Memorandum Opinion and Order, FCC 06-56 (released May 12, 2006), (Second Report and Order).

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