Applications for New Authorization or Modification of Existing Authorization Under Part 5 of FCC Rules - Experimental Radio Service

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SS_3060-0065_final version_2.docx	Supporting Statement A	Uploaded 2023-05-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
29542	Business or other for-profit	Other-Compliance Testing Screenshot	Unchanged
233404	Individuals or Households		Unchanged
184404	State, Local or Tribal Government		Unchanged

ICR Details

OMB Control No: 3060-0065	ICR Reference No: 202305-3060-009
Status: Historical Active	Previous ICR Reference No: 202005-3060-011
Agency/Subagency: FCC	Agency Tracking No: OET
Title: Applications for New Authorization or Modification of Existing Authorization Under Part 5 of FCC Rules - Experimental Radio Service
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Delegated
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/17/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/17/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved	07/31/2023
Responses	655	0	655
Time Burden (Hours)	3,474	0	3,474
Cost Burden (Dollars)	52,150	0	52,150

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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.

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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

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 16252	03/16/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 16252	03/16/2023
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Business or other for-profit
Individuals or Households
State, Local or Tribal Government

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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	655	0	0	0	0
Annual Time Burden (Hours)	3,474	3,474	0	0	0	0
Annual Cost Burden (Dollars)	52,150	52,150	0	0	0	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:

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Annual Cost to Federal Government: $271,015

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? No

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Common Form ICR:  No

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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: 05/17/2023

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