Hearing Aid Compatibility Status Report and Section 20.19, Hearing Aid-Compatible Mobile Handsets (Hearing Aid Compatibility Act)

Federal Communications Commission
Washington, D.C. 20554

Approved by OMB
3060-0999
Expires 07/31/2011

Instructions for Hearing Aid Compatibility Status Reporting Form (FCC Form 655)
Contents
I.
Purpose
II.
Who Must File This Form?
III.
Access to Electronic Filing System for FCC Form 655
IV.
Instructions for Completing FCC Form 655
A. Company Information
B. Handset Model Information
B1. Fields for Handset Model Information
B2. Editing and Deleting Handset Model Information
C. Consumer Outreach
V.
Certifying, Submitting, Updating and Printing Filed Reports
VI.
FCC Notice Required by the Paperwork Reduction Act of 1995
Figures in Appendix
Figure 1
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Figure 20
Figure 21

Register and Receive an FCC Registration Number.................................................... 10
Login Page ................................................................................................................... 11
License Manager Page ................................................................................................. 12
My Applications Page -- Summary.............................................................................. 13
Company Information Page 1 ...................................................................................... 14
Company Information Page 2 ...................................................................................... 15
Handset Model Information Page 1 ............................................................................. 16
Handset Model Information Page 2a............................................................................ 17
Handset Model Information Page 2b ........................................................................... 18
Handset Model Information Page 3 ........................................................................... 19
Handset Model Information Page 4a.......................................................................... 20
Handset Model Information Page 4b ......................................................................... 21
Report Summary for Handset Information Section.................................................... 22
Edit the Handset Information ..................................................................................... 23
Consumer Outreach Page 1........................................................................................ 24
Consumer Outreach Page 2a ...................................................................................... 25
Consumer Outreach Page 2b...................................................................................... 26
Certification Page....................................................................................................... 27
Confirmation Page ..................................................................................................... 28
My Applications Page -- Saved Report...................................................................... 29
My Applications Page -- Submitted Report ............................................................... 30

I.

PURPOSE

The FCC’s electronic Form 655 collects information on the status of compliance with the Federal
Communications Commission’s hearing aid compatibility requirements by digital commercial
mobile radio service (“CMRS”) providers and manufacturers of devices used in the delivery of
these services. The use of electronic FCC Form 655 helps each filer ensure that its report
(“Hearing Aid Compatibility Report”) includes all of the required information in a consistent
format, facilitates filing subsequent reports, and facilitates the Commission’s compilation of data
from the reports. The electronic form also provides the public with improved access to review the
filed status reports.

II.

WHO MUST FILE THIS FORM?

Digital commercial mobile radio service providers, including mobile virtual network operators
(“MVNO”) and resellers, and manufacturers of devices used in the delivery of these services are
required to use this electronic form to provide the Commission with hearing aid compatibility
information. Specifically, these reporting requirements apply to “providers of digital CMRS in
the United States to the extent that they offer real-time, two-way switched voice or data service
that is interconnected with the public switched network and utilizes an in-network switching
facility that enables the provider to reuse frequencies and accomplish seamless hand-offs of
subscriber calls, and such service is provided over frequencies in the 800 MHz-950 MHz or 1.62.5 GHz bands using any air interface for which technical standards are stated in the standard
document ‘American National Standard for Methods of Measurement of Compatibility between
Wireless Communications Devices and Hearing Aids,’ American National Standards Institute
(ANSI) C63.19-2007 (June 8, 2007).” 47 C.F.R. § 20.19(a)(1). These requirements also apply to
“the manufacturers of the wireless handsets that are used in the delivery of the[se
aforementioned] services.” 47 C.F.R. § 20.19(a)(2).

III.

ACCESS TO ELECTRONIC FILING SYSTEM FOR FCC FORM 655

A.

Obtaining an FCC Registration Number (FRN)

In order to access the electronic filing system for Hearing Aid Compatibility reports, each service
provider or device manufacturer must use its FCC Registration Number (FRN). A company may
choose to obtain a new FRN for the purpose of filing its Hearing Aid Compatibility report or it
may use an existing FRN that is assigned to it. If an agent files reports for multiple entities, the
agent should obtain a separate FRN for each reporting entity. The same FRN can be used for the
entity’s future filings. FRNs can be obtained at https://selafoss.fcc.gov/coresWeb/publicHome.do
(see Figure 1 in the Appendix).
B.

Accessing the Hearing Aid Compatibility Reporting Site

The Hearing Aid Compatibility reporting site can be accessed at http://wireless.fcc.gov/hac. This
page contains a link to the License Manager Login page (see Figure 2 in the Appendix) in the
FCC’s Universal Licensing System (ULS). The Login page can also be accessed through the FCC
Forms page (http://www.fcc.gov/formpage.html) on the main FCC website, the Forms and Fees
page (http://wireless.fcc.gov/index.htm?job=forms_and_fees) on the FCC Wireless
Telecommunications Bureau (WTB) website, or the Equipment Authorization System page
(https://fjallfoss.fcc.gov/oetcf/eas/index.cfm) on the FCC Office of Engineering and Technology
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(OET) website. After login, click “My Reports,” then “File Hearing Aid Compatibility Status
Report” on the left panel to start filing your report (see Figure 3). If you want to update a
submitted or saved report, click the “Submitted” or “Saved” link (see Figure 4).
IV.

INSTRUCTIONS FOR COMPLETING FCC FORM 655

Each year Hearing Aid Compatibility Reports must be filed electronically on FCC Form 655 by
July 15 for device manufacturers and January 15 for service providers. The report provides
information for the preceding year – July 1st through June 30th for device manufacturers, and
January 1st through December 31st for service providers. (Exception: The July 15, 2009
manufacturers report provides information from January 1, 2009 through June 30, 2009.) When
the 15th of the month falls on a weekend or holiday, the report is due on the next business day.
The electronic filing system is designed to be user-friendly with many illustrative texts and
information icons. If you are a returning filer, i.e., you filed a report using the electronic filing
system in a previous filing period, the system will allow you to copy the information from your
previous report to the current report, update and add any necessary information.
A.

Company Information

Provide the requested information for the reporting entity. You can edit the company information
while in this section (see Figure 5 and Figure 6). You also can come back to edit the company
information when you are on the Report Summary page (after finishing the Handset Information
section) by clicking the edit icon ( ) to the left of the company name (see Figure 13).
• Type of Company: Indicate whether the reporting entity is a manufacturer or service
provider.
• De Minimis Exception:
o Answer the first question: “Did you offer more than two handsets over any air
interface to service providers (if you are a device manufacturer) or to subscribers
(if you are a service provider) during this reporting period?” An entity reporting
multiple air interfaces may qualify for the de minimis exception over some but
not all air interfaces; this question is intended only to indicate whether a
reporting entity qualifies for the de minimis exception across ALL air interfaces.
This question is informational only and a “Yes” response in the context of
multiple air interfaces does not affect the applicability of the de minimis
exception to those air interfaces where the reporting entity offered two or fewer
handsets.
o Select “Yes” if the reporting entity offered more than two handsets over ANY air
interface to service providers (if you are a device manufacturer) or to subscribers
(if you are a service provider) during this reporting period. If the reporting entity
offered handsets over multiple air interfaces, and if that same reporting entity
offered two or fewer handsets over one or more of those air interfaces, that entity
should select “Yes” to this question unless it offered two or fewer handsets over
every one of those air interfaces.
o If the reporting entity offered two or fewer handsets over all air interfaces, select
“No” and answer the second question: “Did you offer any handsets to service
providers (if you are a device manufacturer) or to subscribers (if you are a service
provider) during this reporting period?”
ƒ Select “Yes” if you offered at least one handset through these channels
during the reporting period.
ƒ Select “No” if you are a manufacturer who did not offer any handsets to
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•

•
•

•

B.

service providers, or if you are a service provider who did not offer any
handsets to subscribers.
o If you answer “No” to both De Minimis questions, the system will use this
information to take you directly to the Outreach Information section after you
finish the Company Information section.
Company Name: Provide the company name for the reporting entity. If the reporting
entity also has a “Doing Business As (dba)” name, include both the company name and
the dba name in the Company Name box. The format can be “Company Name dba Doing
Business As Name.”
Company Address: Provide the company address for the reporting entity. If you are a
non-US company, please use your US business office address for filing purpose. If you
do not have a US business office address, please use your US agent's address.
Company Contact Information: Provide the name, 10-digit US phone number, 10-digit
US FAX number, and e-mail address of the contact person for the reporting company. If
you are a non-US company, please use your US business office contact information for
filing purpose. If you do not have US business office contact information, please use your
US agent's contact information. All fields are required except the US FAX number. If
you do not have a US FAX number, just leave it blank.
Filing Agent: If the report is being filed by an agent (such as a law firm) in the US on
behalf of a manufacturer or service provider, select “Yes” and provide the name, address
and contact information for the agent as well.
Handset Model Information

You must complete a separate Handset Model Information page for each handset model you
offered that counts as a unique model for hearing aid compatibility purposes. If you marketed the
same model under more than one name, all of the names must be reported as part of the same
model.
For purposes of compliance with the hearing aid compatibility deployment requirements, two
handsets marketed as separate models must be counted as a single model if they do not differ in
form, features, or capabilities (for example, if they differ only in being marketed through different
service providers or in cosmetic respects such as color). A difference in hearing aid compatibility
rating is considered a difference in form, features, or capabilities.
For example, manufacturer X markets two models, the TalkMaster X1 and the Talk2Me,
that are indistinguishable in form, features, and capabilities. It also produces another
model, the TalkMaster X2, that offers different features from the TalkMaster X1. All of
these models are certified under the same FCC ID number. The manufacturer must report
the TalkMaster X1 and the Talk2Me on the same page, and the TalkMaster X2 on a
different page.
B1.

Fields for Handset Model Information

Specific attributes of a handset model need to be entered in this section. These attributes include
handset maker, handset model name, air interfaces and frequency bands used by the handset,
hearing aid compatibility ratings, etc. Once you complete the information required for one
handset, you can add information for another handset or continue to the next section on consumer
outreach if you have completed information for all handset models.

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HANDSET MAKER: This is the manufacturer of the handset (see Figure 7).
• If the Handset Maker name is in the dropdown list in the Handset Maker box, select it
from the list.
• If the Handset Maker is not on the list, select "Other" at the bottom of the list and enter
the name in the box to the right of the Handset Maker box.
HANDSET MODEL: Select “No” if you marketed the Handset Model under only one name,
“Yes” if you marketed the Handset Model under multiple names (see Figure 7).
• If “No” is selected:
o Provide the Handset Model name either by selecting a name from the dropdown
list in the Handset Model Name box or by selecting “Other” from the dropdown
list and entering a new Handset Model name in the box to the right of the
Handset Model Name box.
o Provide the associated FCC ID(s) for the Handset Model in the FCC ID boxes. If
there is one FCC ID associated with the Handset Model, enter it in the first FCC
ID box. If there are multiple FCC IDs associated with the Handset Model, enter
each FCC ID in a separate FCC ID box. The system sometimes automatically
pre-fills one or more FCC IDs if they are available. You can over-write or delete
a pre-filled FCC ID if it is not correct or not relevant (see Figure 8).
• If “Yes” is selected:
o Provide the first name for the handset model, either by selecting a name from the
dropdown list in the Handset Model Name box or by selecting “Other” from the
dropdown list and entering a new Handset Model Name in the box to the right of
the Handset Model Name box.
o Provide the associated FCC ID(s) for the Handset Model Name in the FCC ID
boxes. If there is one FCC ID associated with the Handset Model Name, enter it
in the first FCC ID box. If there are multiple FCC IDs associated with the
Handset Model Name, enter each FCC ID in a separate FCC ID box. The system
sometimes automatically pre-fills one or more FCC IDs if they are available. You
can over-write or delete a pre-filled FCC ID if it is not correct or not relevant.
o Click “Add Another Handset Model Name” to add another marketing name and
associated FCC ID(s).
o Repeat until all marketing names have been entered (see Figure 9).
• If you initially select “Yes” and later need to remove model names, you can do that by
choosing the edit icon ( ) for the handset on the Report Summary page (appears after
finishing the Handset Information section) and selecting the delete icon ( ) for the
unneeded model name(s) on the Handset Model Name Summary page (see Figure 13).
• If you initially select “No” and later need to add model names, you can do that by
choosing the edit icon ( ) for the handset on the Report Summary page (appears after
finishing the Handset Information section) and selecting the “Add Another Handset
Model Name” button on the Handset Model Name Summary page (see Figure 13).
AIR INTERFACES / FREQUENCY BANDS: Select the air interface technology(ies) (e.g.,
CDMA, GSM, WCDMA, iDEN) and corresponding frequency band(s) used by this handset for
voice communications (do not include the Wi-Fi air interface). If a handset operates over
multiple air interfaces or frequency bands usable to provide voice communications, select all of
those air interfaces and frequency bands (see Figure 10).
WI-FI INTERFACE: Select “Yes” if this handset is capable of Wi-Fi voice operation. Otherwise
select “No” (see Figure 10).
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DATES: Enter “Starting Available Date” and “Ending Available Date” in the relevant boxes in
the “MM/YY” format. For example, April 2008 should be entered as 04/08, not 04/2008 or 4/08.
If this handset is still being offered as of the end of the reporting period, enter the ending month
of the reporting period as the ending available date. The current reporting period will be listed at
the top of the page for your reference (see Figure 10).
M-RATING:
• For Device Manufacturers (see Figure 11):
o Select “No” if the handset model has not received an M-Rating certification.
o Select “Yes” if the handset model has received an M-Rating certification.
ƒ Select the appropriate rating from the dropdown list in the M-Rating box.
ƒ Provide the M-Rating Certification Date in the format MM/DD/YY.
ƒ Click the “2005,” “2006” or “2007” button to indicate which version of
the ANSI C63.19 standard was used during the certification process.
• For Service Providers (see Figure 12):
o Select the appropriate rating from the dropdown list in the M-Rating box. If the
handset has not received an M-Rating certification, you must select “N/A.”
T-RATING:
• For Device Manufacturers (see Figure 11):
o Select “No” if the handset model has not received a T-Rating certification.
o Select “Yes” if the handset model has received a T-Rating certification.
ƒ Select the appropriate rating from the dropdown list in the T-Rating box.
ƒ Provide the T-Rating Certification Date in the format MM/DD/YY.
ƒ Click the “2005,” “2006” or “2007” button to indicate which version of
the ANSI C63.19 standard was used during the certification process.
• For Service Providers (see Figure 12):
o Select the appropriate rating from the dropdown list in the T-Rating box. If the
handset has not received a T-Rating certification, you must select “N/A.”
FUNCTIONALITY LEVEL: (Applies to service providers only.) Each service provider is
required to offer customers a range of hearing aid-compatible models with differing levels of
functionality (e.g., operating capabilities, features offered, prices). Each service provider may
determine the criteria for determining these differing levels of functionality. This entry should
indicate into which provider-defined level of functionality each individual handset model falls. If
this handset is not rated either “M3” or “M4”, you may enter “N/A”. Filers who are reporting
only one hearing aid-compatible handset may also enter “N/A” (see Figure 12).
REMARKS: Provide any remarks or comments concerning the handset model (see Figure 11 or
Figure 12).
B2.

Editing and Deleting Handset Model Information

Once you complete the information required for each handset, the system will take you to the
Report Summary page for the Handset Information section (see Figure 13), where the company
name and some basic information such as the handset maker name, handset model name(s), and
FCC ID(s) for each filed handset will be on display. You can:
• Edit Company Information by clicking the edit icon ( ) to the left of the company name
on the upper left corner of the page (see Figure 13).
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•

•
•

C.

Edit the handset model information for a specific handset by clicking the edit icon ( )
for the handset in the right-most column of the page. The system allows you to edit the
handset model name(s) and FCC ID(s) (see Figure 14).
o However, if the handset maker name is wrong, you have to go back to the Report
Summary page (Figure 13), delete the handset by clicking the delete icon ( )
for the handset and add the handset back by clicking “Report New Handset
Model” at the bottom of the page.
Delete a handset or a duplicated handset by clicking the delete icon for the handset in the
right-most column of the page (see Figure 13).
Continue to the Consumer Outreach section by clicking “Continue” at the bottom of the
page.
Consumer Outreach

PRODUCT LABELING:
Question 1: “Do all hearing aid-compatible handsets include labeling?” Under Section 20.19(f)
of the Commission’s rules, manufacturers and service providers must ensure that the rating of
hearing aid-compatible handsets is clearly displayed on the packaging material of the handset. In
the event that a hearing aid-compatible handset achieves different radio frequency (RF)
interference or inductive coupling ratings over different air interfaces or different frequency
bands, the RF interference reduction and inductive coupling capability ratings displayed shall be
the lowest rating assigned to that handset for any air interface or frequency band. An explanation
of the ANSI C63.19 rating system must also be included in the device’s user’s manual or as an
insert in the packaging material for the handset.
Answer “Yes” if all of your handsets comply with this requirement. If you have handsets that do
not comply with this requirement, answer “No” and explain (see Figure 15).
Question 2: “Do all hearing aid-compatible handsets with the Wi-Fi air interface have clear and
effective disclosure that the handset has not been rated for hearing aid compatibility with respect
to its Wi-Fi voice operation?” Each manufacturer and service provider must ensure that,
wherever it provides hearing aid compatibility ratings for a handset model that incorporates a WiFi air interface, it discloses to consumers, by clear and effective means, that the handset has not
been rated for hearing aid compatibility with respect to Wi-Fi voice operation.
Answer “Yes” if all of your handsets that are equipped for Wi-Fi voice operation include this
disclosure. If you have handsets that are equipped for Wi-Fi voice operation but do not include
this disclosure, answer “No” and explain. If you do not offer any handsets equipped for Wi-Fi
voice operation, answer “Yes” (see Figure 15).
PUBLIC WEBSITE: Under Section 20.19(h) of the Commission’s rules, service providers and
manufacturers that are subject to the hearing aid compatibility requirements of that section and
which operate a publicly-accessible website must include on that website a list of all hearing aidcompatible models currently offered, the ratings of those models, and an explanation of the rating
system. Service provider websites must also include the levels of functionality that the service
provider has defined, the level under which each hearing aid-compatible model falls, and an
explanation of how the functionality of the handsets varies at the different levels.
Answer “Yes” if you maintain such a website, and provide the website address. One website
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address is sufficient if the information is clearly accessible from that page, even if there are
multiple sub-pages. If you do not maintain a website with this information, answer “No” and
explain (e.g., the reporting entity does not maintain any public website) (see Figure 15).
CONSUMER OUTREACH: Provide information on the reporting entity’s outreach efforts with
regard to hearing aid compatibility within the reporting period (see Figure 16 and Figure 17).
HEARING AID COMPATIBILITY TESTING: (Applies to manufacturers only.) Enter the
number of handset models that were tested for hearing aid compatibility during the reporting
period. You need not include models that have not received certification from the FCC (see
Figure 16).
METHODOLOGY FOR FUNCTIONALITY LEVELS: (Applies to service providers only.)
Provide an explanation of the methodology used to define functionality levels for handsets
offered to consumers, pursuant to Section 20.19(d)(4)(ii) of the Commission’s rules. Each service
provider is required to offer customers a range of hearing aid-compatible models with differing
levels of functionality (e.g., operating capabilities, features offered, prices). Each service provider
may determine the criteria for determining these differing levels of functionality. Filers who are
not reporting more than one hearing aid-compatible handset model may enter “N/A” (see Figure
17).
REPORT REMARKS: Add any other information that you may choose to provide (see Figure 16
and Figure 17).

V.

CERTIFYING, SUBMITTING, UPDATING AND PRINTING FILED REPORTS

Certifying and Submitting Your Report: Upon finishing the Consumer Outreach section, you
need to certify your report by clicking the “Certify Filing” button at the bottom of the Consumer
Outreach page (see Figure 16 or Figure 17). On the certification page, you must provide your
name and title. You must then submit your report by clicking the “Submit Filing” button at the
bottom of the certification page (see Figure 18). The system will then provide you a confirmation
number. Please write down this confirmation number for your future reference (see Figure
19). You must submit your report on or before the filing deadline. Failure to submit your report
in a timely manner may trigger FCC enforcement action.
Saving without Submitting Your Report: You can stop at any time while completing your
report by clicking the “Quit Application” button at the top-right corner of the page (see Figure 7).
Whenever you click on “Quit Application,” your report will be saved and put into the “Saved”
category (see Figure 4). A “Saved” report is not considered to be a submitted report. You must
remember to submit your report on or before the filing deadline. To submit a saved report, you
must update the report, certify it and submit it.
If you are accidentally timed out by the system, your report will be placed in the “Saved”
category. You will need to re-login to the system and update your report (see below on updating a
saved report).
Updating Your Report: You can update your saved or submitted report at any time before the
filing deadline. However, you cannot update your report once the deadline has passed. To update
your report, you need to access the electronic Form 655 and go to the “Saved” category if you
have a saved report or the “Submitted” category if you have a submitted report (see Figure 4).
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From there, click “Continue” or “Update” to update your saved or submitted report (see Figure
20 or Figure 21). The system will take you directly to the Report Summary page (see Figure 13).
From there, you can update your report. After completing your update, you must submit your
report again in order for it to be considered submitted. A submitted report that has been opened
for updating but not re-submitted will be placed in the “Saved” category and not the “Submitted”
category.
The Hearing Aid Compatibility reports always have a purpose code of “HA.” Knowing this will
help you find your Hearing Aid Compatibility report.
Printing Your Report: While you are in the filing page or submission page, you can view your
report (even though you are not done) by clicking the “Print Report” button ( ) at the top of the
page (see Figure 19). The system will generate a PDF file that contains all the information you
have entered into your report as well as the FRN you used for filing the report.

VI.

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995

We have estimated that each response to this collection of information will take, on average, two
and a half (2.5) hours. Our estimate includes the time to read the instructions, look through
existing records, gather and maintain the required data, enter the data in the Form 655 on-line
template, and submit it electronically. If you have any comments on this estimate, or how we can
improve the collection and reduce the burden it causes you, please write the Federal
Communications Commission, AMD-PERM, Washington, D.C. 20554, Paperwork Reduction
Project (3060-0999). We also will accept your comments via the Internet if you send them to
[email protected]. DO NOT SEND COMPLETED FCC FORM 655 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 Office of Management and Budget (OMB) control number. This
collection has been assigned an OMB control number of 3060-0999.
Reporting entities failing to file FCC Form 655 in a timely fashion may be subject to penalties
under the Communications Act, including sections 502 and 503(b).

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK
REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C.
SECTION 3507.

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APPENDIX
Figure 1

Register and Receive an FCC Registration Number

Obtain a new FCC Registration Number (FRN) for the purpose of filing
Hearing Aid Compatibility status reports for each reporting entity. The
same FRN can be used again to file future reports for the entity. Each
reporting entity should use its own FRN.

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Figure 2

Login Page

Enter Your FRN
and Password
Click Here if You
Need a FRN

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Figure 3

License Manager Page

Click My Reports

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Figure 4

My Applications Page -- Summary

Saved Report
(not-finished
Saved Report
(not finished
and/or not-submitted)
and/or not submitted)

Submitted Report

File Hearing Aid
Compatibility Report

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Figure 5

Company Information Page 1

Quit Application
(report will be saved
but not submitted)

Reporting Period
and Filing Deadline

Type of Company

Returning filers can copy
information from their reports
filed in the previous year

Indicating that you are in the
Company Information section

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Figure 6

Company Information Page 2

De Minimis questions

Company name and
contact Information

Filing Agent Information

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Figure 7

Handset Model Information Page 1
(Handset Maker / Handset Model)

Handset Maker
(a dropdown box)

Print report

Indicate whether the model is
marketed under multiple names

Quit Application
(report will be saved
but not submitted)

Indicate that you are in the Handset
Model Information section

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Figure 8

Handset Model Information Page 2a
(Single Handset Model Name / FCC ID)

Handset Model Name
(a dropdown box)

Cancel (return to Report
Summary page)

FCC ID(s) associated
with the Handset

Save and Continue

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Technical Support

FCC Form 655
June 2009

Figure 9

Handset Model Information Page 2b
(Multiple Handset Model Names / FCC ID)

Handset Maker

Handset Model Name

Another Marketing
Name for the Same
Handset

FCC ID

Cancel (return to
Report Summary
page)

Add Another
Marketing Name for
the Same Handset

18

Save and Continue

FCC Form 655
June 2009

Figure 10 Handset Model Information Page 3
(Air Interfaces / Frequency Bands)

Air Interfaces / Frequency Bands

Starting Available Date (MM/YY)

Ending Available Date (MM/YY)

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Figure 11 Handset Model Information Page 4a
(Hearing Aid Compatibility Ratings --For Device Manufacturers)

M-Rating (a dropdown box)

M-Rating Certification
Date (MM/DD/YY)

T-Rating (a dropdown box)

T-Rating Certification
Date (MM/DD/YY)
Remarks for the Handset

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Figure 12 Handset Model Information Page 4b
(Hearing Aid Compatibility Ratings --For Service Providers)

Starting Available Date (MM/YY)

Ending Available Date (MM/YY)

M-Rating (a dropdown box)
T-Rating (a dropdown box)
Functionality Level

Remarks for the Handset

Cancel (return to Report
Summary page)

Save and Continue

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Figure 13

Report Summary for Handset Information Section

Edit Company Information

Reporting Period
and Filing Deadline

Quit Application
(report will be saved
but not submitted)

Summary by
Air Interface

Report a New
Handset Model

Edit the Handset Information

22

Delete the Handset

FCC Form 655
June 2009

Figure 14

Edit the Handset Information

Click here to edit the name(s)
and FCC ID(s) for this handset

Click here to add
another marketing
name for this handset

Click here to edit additional
information for this handset

Return to Report
Summary page

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Figure 15

Consumer Outreach

Consumer Outreach Page 1

Product Labeling

Reporting company’s
public website for
Hearing Aid
Compatibility information

Indicating that you are
in the Consumer
Outreach section

24

FCC Form 655
June 2009

Figure 16

Consumer Outreach Page 2a

(Consumer Outreach Efforts -- Device Manufacturers)

Consumer
Outreach Efforts
Tested Handsets
Remarks for the Report

Back (to the
previous page)

Certify Filing

25

FCC Form 655
June 2009

Figure 17

Consumer Outreach Page 2b

(Consumer Outreach Efforts – Service Providers)

Consumer
Outreach Efforts
Description of Methodology
for Functionality Levels
Remarks for the Report

Back (to the
previous page)

Certify Filing

26

FCC Form 655
June 2009

Figure 18 Certification Page

Certification Signature

Submit Filing

27

FCC Form 655
June 2009

Figure 19 Confirmation Page

Click here to see if your report is in the
submitted category

Confirmation Number

Print Report

28

FCC Form 655
June 2009

Figure 20 My Applications Page -- Saved Report

“Not Assigned” indicating
the report was saved
before being submitted
(no confirmation number)

“Saved” Status
(but not
submitted)

Purpose Code will be
“HA” (for Hearing Aid
Compatibility report)

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Continue
the Report

Delete the
Report

FCC Form 655
June 2009

Figure 21 My Applications Page -- Submitted Report

Confirmation
Number

Submitted
Status

Purpose Code will be
“HA” (for Hearing Aid
Purposereport)
Code
Compatibility
Should be “HA”

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Update the
Report

Delete the
Report

FCC Form 655
June 2009