Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
3060-0065 SS (102018)_final version.docx	Supporting Statement A	Uploaded 2018-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29542	Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)	Other-Compliance Testing Screenshot	Modified
233404	Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)		New
184404	Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other Than Broadcast)		Modified

ICR Details

OMB Control No: 3060-0065	ICR Reference No: 201810-3060-001
Status: Historical Active	Previous ICR Reference No: 201510-3060-006
Agency/Subagency: FCC	Agency Tracking No: OET
Title: Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/28/2019
	Date Received in OIRA: 11/01/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved	12/31/2018
Responses	655	0	560
Time Burden (Hours)	3,474	0	3,049
Cost Burden (Dollars)	52,150	0	41,600

---

Abstract: Part 5 allows applicants for conventional, program, medical and compliance testing for experimental licenses are required to file FCC Form 442. Applicants are generally electronic equipment manufacturers. The FCC will use the information to determine if the applicant is eligible for an experimental license, to comply with the the requirements of Part 5 of the FCC rules and if the proposed operation will cause interference to existing operations.

---

Authorizing Statute(s): US Code: 47 USC 4, 302, 303, 307, 336 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AJ62	Final or interim final rulemaking	81 FR 48362	07/25/2016

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 39751	08/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 54926	11/01/2018
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)
Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)
Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other Than Broadcast)

---

ICR Summary of Burden

table that charts list 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	655	560	0	95	0	0
Annual Time Burden (Hours)	3,474	3,049	0	425	0	0
Annual Cost Burden (Dollars)	52,150	41,600	0	10,550	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: There has been a program change in the reporting, recordkeeping requirements and/or third-party disclosure requirements. The number of respondents decreased from 495 to 405 (the number of responses increased from 560 to 655), therefore, the annual burden hours increased from 3,049 to 3,474 and the cost has also increased from $41,600 to $52,150. The increases for collection OMB Control No. 3060-0065 are also due to consolidating the information collection requirements that were contained under OMB Control No. 3060-0758. Some of the rules in (3060-0758) were deleted and the others rules were modified and included in this collection.

---

Annual Cost to Federal Government: $234,626

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 11/01/2018

---