Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405

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IC Title:	Application for Renewal of Radio Station License for Experimental Radio Service, FCC Form 405	Agency IC Tracking Number:	OET

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 5.1, 5.55, 5.9

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: OET 1, "Experimental Radio Station License Files"	FR Citation: 71 FR 17234

Number of Respondents: 175	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	175	25	150
Annual IC Time Burden (Hours)	394	57	337
Annual IC Cost Burden (Dollars)	58,625	8,375	50,250

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