Download:
pdf |
pdfSee instructions and
additional information
on separate page
Save time and register your beacon online at www.beaconregistration.noaa.gov
Official 406 MHz ELT Registration Form
ELT Information (Enter either 15- OR 23-Hex ID)
15-Hex Beacon ID
For manufacturer’s use only
(15-digit hexadecimal ID provided by the beacon manufacturer)
23-Hex Beacon ID
(23-digit hexadecimal ID provided by the beacon manufacturer)
Checksum (CHK)
Serial No. (S/N)
Purpose of ELT Registration
ELT Manufacturer
New/Change of Ownership
Replacement for previously registered beacon; enter old ID no. below:
Update/Renewal
Old 15-hex ID
ELT Model
Old 23-hex ID
Owner/Operator Information
Name _____________________________________________________
(Owner, operator, agent, or company name)
Telephone (include area code)
Mailing Address ____________________________________________
_________________________________
__________________________________________________________
_________________________________
City _________________________ State/Province ________________
_________________________________
ZIP (Postal) Code ______________ Country ______________________
_________________________________
Home/Work/Cell
□H□W□C
□H□W□C
□ H□W□C
□ H□W□C
E-mail __________________________________________________________________________________________________________
Aircraft Information
Registration (Tail) No. _________________________
USAGE: □ Private/Non-Commercial □ Commercial □ Government Military □ Government Non-Military
TYPE:
□ Single-engine propeller □ Single-engine jet □ Multi-engine propeller □ Multi-engine jet □ Helicopter □ Other _________
Aircraft Manufacturer ______________________ Model ___________________ Color __________________ Seating Capacity _______
Radio Equipment (check all that apply): □ VHF □ MF □ HF □ SSB □ Other ________________________________
Survival Equipment (Describe and List Quantity): Deployable ___________________________ Fixed ___________________________
Principal Airport (Name or Code) _____________________________ City ________________________________ State ____________
Additional Data (Flight Plans, etc.):__________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Emergency Contact Information (Please indicate someone other than the owner)
Name of Primary 24-Hour Emergency Contact:
Name of Alternate 24-Hour Emergency Contact:
_____________________________________________________
______________________________________________________
Telephone (include area code)
______________________________________
______________________________________
______________________________________
______________________________________
Home/Work/Cell
□H□W□C
□H□W□C
□H□W□C
□H□W□C
Telephone (include area code)
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Home/Work/Cell
□H□W□C
□H□W□C
□H□W□C
□H□W□C
If you have any questions about this form or beacon registration in general, please call 1.888.212.SAVE (7283) or 301.817.4515
OMB Auth.(0648-0295) Expires: DDMONYYYY
For information on the U.S. Search & Rescue Satellite-Aided Tracking system (SARSAT), please visit www.sarsat.noaa.gov
Rev. DD/YYYY
Mail or fax this form to SARSAT Beacon Registration, NOAA, NSOF, E/SPO53, 1315 East West Highway, Silver Spring, MD 20910; Fax No. 301.817.4565
Important Notice—Please Read Before Completing Your Registration
Registration is an important facet for all Cospas-Sarsat 406 MHz emergency beacons. Not only is it required by Federal Regulations,
but the information you furnish is used by Search and Rescue (SAR) agencies in the event of beacon activation. Registration
information is an important tool used to assist the U.S. Coast Guard, U.S. Air Force, and other SAR agencies in locating and quickly
responding to you, your vessel, or your aircraft. Failure to register your beacon or update your registration information may delay a
rescue response. Accurate, up-to-date registration information is used to conserve resources by helping to eliminate false alert
deployments, as an inadvertent activation can be resolved with a phone call when the beacon is properly registered. There is no
charge for beacon registration. This is a service provided by the U.S. National Oceanic and Atmospheric Administration (NOAA).
All online registrations are entered into the National 406 MHz Beacon Registration Database on the same day of entry. Registration
forms received via postal mail, email, or fax are entered into the database by NOAA staff within 2 business days of receipt.
A confirmation letter with your completed registration information is sent to you immediately via email and a hardcopy of the
confirmation letter is sent to you via postal mail (if you have not provided an email address, you will only receive this hardcopy).
A NOAA Registration Database decal will be included on your hardcopy confirmation letter along with instructions about its
application. Upon receipt of your registration confirmation, please review all information. If updates are necessary, you can make
them online or send them to us via email, fax, or postal mail. If you have NOT RECEIVED your registration confirmation within
2 weeks, please email or call us (contact information below).
Failure to register, re-register (as required every 2 years), or to notify NOAA of any changes to the status of your 406 MHz beacon
could result in penalties and/or fines being issued under Federal Law. More importantly, failure to maintain accurate and complete
information could result in a delayed response by rescue forces.
The owner or user of a beacon is required to notify NOAA immediately of any changes to the registration information at any time.
By submitting this registration, the owner, operator, or legally authorized agent declares under penalty of law that all information in
the registration information is true, accurate, and complete. Providing information that is knowingly false or inaccurate may be
punishable under Federal Statutes. Please note that NOAA will complement or update your registration information if your
registration is outdated and credible information is provided by other sources. NOAA will also seek information from other databases
to update and/or complement the existing information for an expired beacon registration. Although the information provided will
become a matter of public record, there is no intent to circulate it beyond its intended purpose—to assist SAR agencies in carrying
out their mission. False alerts remain a chief concern for SAR agencies. Please carefully refer to the beacon’s user manual for
instructions on properly operating, installing, testing, maintaining, and storing your beacon. These are important factors in reducing
the number of false alerts. Please use the utmost care at all times!
Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations, which authorizes the
operations of an executive agency, including the creation, custodianship, maintenance, and distribution of records.
Purpose: U.S. beacon owners are required by Code of Federal Regulations (CFR) 47 to register all U.S.-coded 406 MHz beacons
with NOAA before installation and/or use. Registration information allows for better SAR response in distress activations and more
efficient handling of false alerts.
Routine Uses: NOAA will use this information for responding to registrants' beacon distress calls. Sharing of this information for
work-related purposes within NOAA is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a). Disclosure of this
information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice Commerce/
NOAA-20, SARSAT 406 MHz Emergency Beacon Registration Database.
Disclosure: All responses to this information collection are mandatory pursuant to Federal Communications Commission (FCC)
regulations in 47 CFR 80.1061, 87.199, and 95.2993. If not provided, response time may be significantly delayed and may divert
additional resources from other distress cases.
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to, a penalty
for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the
information collection has a currently valid Office of Management and Budget (OMB) Control Number. The approved OMB
Control Number for this information collection is 0648-0295. Without this approval, NOAA cannot conduct this information
collection. Public reporting for this information collection is estimated to be approximately 15 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the information collection. Send comments regarding this burden estimate or any other aspect of this
information collection, including suggestions for reducing this burden, to:
SARSAT Beacon Registration
NOAA/SARSAT
NSOF, E/SPO53
1315 East West Highway
Silver Spring, MD 20910
NOAA SARSAT Beacon Registration Database
www.beaconregistration.noaa.gov | [email protected]
Toll-Free: 1.888.212.7283 (SAVE) | Local: 301.817.4515 | Fax: 301.817.4565
File Type | application/pdf |
Author | Joan McFarland |
File Modified | 2021-12-06 |
File Created | 2021-11-19 |