Quick Form Application for Authorization in the Ship, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services

Forms and Documents

Document Name	Status
Form FCC 605 Main Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - state, local or tribal govts Form and Instruction	Modified
0850_ss_050411.doc Supporting Statement A	2011-05-04

IC Document Collections

IC ID	Document Title	Status
31191	Quick Form Application for Authorization in the Ship, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - Individuals	Modified
182999	Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - state, local or tribal govts Form and Instruction	Modified
182998	Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services -Private sector	Modified

ICR Details

OMB Control No: 3060-0850	ICR Reference No: 201012-3060-005
Status: Historical Active	Previous ICR Reference No: 200712-3060-010
Agency/Subagency: FCC	Agency Tracking No: WT
Title: Quick Form Application for Authorization in the Ship, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/09/2011
	Date Received in OIRA: 05/04/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	06/30/2011
Responses	130,000	0	175,000
Time Burden (Hours)	57,200	0	77,000
Cost Burden (Dollars)	2,676,700	0	2,538,000

---

Abstract: FCC Form 605 is a multi-purpose form used to apply for an authorization to operate radio stations and perform a variety of other miscellaneous tasks in the Ship, Aircraft, Amateur, Restricted and Commercial Radio Operators, and General Mobile Radio Services. The Commission is submitting this collection as an extension because we have re-arranged the lay out of the FCC Form 605; and clarified some of the instructions. These changes are not considered a revision and no new requirements have been added.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 2376	01/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 24483	05/02/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - state, local or tribal govts	FCC Form 605, Schedule A, FCC Form 605, Schedule B, FCC 605 Main, FCC Form 605, Schedule G, FCC Form 605, Schedule E, FCC Form 605, Schedule C, FCC Form 605, Schedule D, FCC Form 605, Schedule F	Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services ,   Schedule for Changes Affecting Multiple Call Signs or Files Numbers for FCC Form 605 ,   Instructions for Schedule for Additional Data for the Ship Radio Service (Part 80) ,   Instructions for Schedule for Additional Data for the Aircraft Radio Service (Part 87) ,   Instructions for Schedule for Additional Data in the Amateur Radio Service ,   Instructions for Temporary Operator Permit for the Ship, Aircraft, Restricted Radiotelephone, Restricted Radiotelephone-Limited Use, and GMRS Radio Services ,   Instructions for Schedule for Additional Data for the Commercial Radio, Restricted Radiotelephone, and Restricted Radiotelephone-Limited Use Radio Services ,   Instructions for Schedule for Exemption from Ship Station Requirements (Part 80)
Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services -Private sector
Quick Form Application for Authorization in the Ship, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - Individuals

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	130,000	175,000	0	0	-45,000	0
Annual Time Burden (Hours)	57,200	77,000	0	0	-19,800	0
Annual Cost Burden (Dollars)	2,676,700	2,538,000	0	0	138,700	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission is extending this collection because there are no changes in the reporting, recordkeeping and/or third party disclosure requirements. The Commission has reformatted the FCC 605 Schedule D to rearrange the layout of Question 2 for Vanity Call Sign Change; to further clarify the filing instructions; and to define the term "in-law".

---

Annual Cost to Federal Government: $489,404

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/04/2011

---