Form FCC Form 338 FCC Form 338 AM Station Modulation Dependent Carrier Level (MDCL) Not

Federal Communications Commission
Washington, D. C. 20554

Not Yet Approved by OMB
3060-XXXX

FOR
FCC
USE

FCC 338
AM STATION
MODULATION DEPENDENT CARRIER LEVEL (MDCL)
NOTIFICATION

ONLY

FOR COMMISSION USE ONLY
FILE NO.

SECTION I - GENERAL INFORMATION
1.

Legal Name of the Applicant
Mailing Address
City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address

FCC Registration Number

2.

Call Sign

Contact Representative (if other than licensee/permittee)

ZIP Code

Facility ID Number

Firm or Company Name

Mailing Address
City

State or Country (if foreign address)

Telephone Number (include area code)

E-Mail Address

3.

Community of License: City:

4.

Date MDCL Control Operation commenced:

5.

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

State:
(mm/dd/yyyy)

Name

6.

ZIP Code

Telephone Number (include area code, omit dashes)

Technical Data:
Transmitter Manufacturer:
Transmitter Model:
MDCL Control Technology Used:

ACC
DCC

7.

AMC

DAM

Other (Specify):

Anti-Drug Abuse Act Certification. Licensee certifies that neither licensee nor any party to the application is
subject to denial of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C.
Section 862.

Yes

No

FCC 338

8.

Licensee certifies that its MDCL 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.
If No, licensee must submit an environmental assessment (EA) and may not commence MDCL
operation until the EA is acted upon by the Commission.

Yes

No

Exhibit No.

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-XXXX),
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-XXXX.
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 338 (Page 2)