FCC Form 335-FM Digital Notification

Federal Communications Commission
Washington, D. C. 20554

Not Approved by OMB
3060-0335

FCC 335-FM

FOR
FCC
USE

ONLY

DIGITAL NOTIFICATION
FOR COMMISSION USE ONLY

SECTION I - GENERAL INFORMATION
1.

FILE NO.

Legal Name of the Applicant
Mailing Address

2.

City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

Call Sign

Facility ID Number

Contact Representative (if other than licensee/permittee)

Firm or Company Name

ZIP Code

Mailing Address
City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address (if available)

3.

Community of License:

4.

Digital broadcasts commenced on:

5.

In the event of interference, questions should be directed to licensee's technical representative:

State:

Name

6.

ZIP Code

(mm/dd/yyyy)

Telephone Number (include area code, omit dashes)

Effective Radiated Power:
Analog:

kilowatts

Digital:

kilowatts

Transmitter Power Output:
Combined (for low-level combined systems):

kilowatts

Analog (for separate analog systems):

kilowatts

Digital (for separate digital systems):

kilowatts

7.

Licensee certifies that, except for digital power, its facilities conform to the iBiquity Digital Corporation hybrid
specifications:

8.

Licensee certifies its analog effective radiated power will remain as authorized after commencement of digital
operations:

Yes

No

Yes

No

Exhibit No.

If No, Explain.
9.

Licensee certifies that its interim digital operation will not cause human exposure to radio frequency radiation
in excess of the limits for maximum permissible exposure specified in Section 1.1310 of the Commission's
rules, and it is therefore categorically excluded from environmental processing pursuant to Section 1.1306(b) of
the Commission's rules:

Yes

No

FCC 335-FM
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CERTIFICATION
I hereby certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in
good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
Typed or Printed Name of Person Signing

Typed or Printed Title of Person Signing

Signature

Date

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18,
SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47,
SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).
FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT
We have estimated that each response to this collection of information will take, on average 1 hour. Our estimate includes the time to read the
instructions, look through existing records, gather and maintain the required data, and actually complete and review the form or response. If
you have any comments on this burden estimate, or on how we can improve the collection and reduce the burden it causes you, please e-mail
them to [email protected] or send them to the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-0335),
Washington, DC 20554. Please DO NOT SEND COMPLETED APPLICATIONS TO THIS ADDRESS. Remember - you are not required to
respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection,
unless it displays a currently valid OMB control number of if we fail to provide you with this notice. This collection has been assigned an
OMB control number of 3060-0335.
THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L.104-13, OCTOBER 1, 1995,
44 U.S.C. 3507.

FCC 335-FM (Page 2)
FCC 335-FM
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