Form 312 Special Temporary Authority Space Station (Apr 2024)

4/23/24, 12:30 PM

ICFS Form - ICFS Portal

• Indicates required

FCC 312

FEDERAL COMMUNICATIONS COMMISSION
APPLICATION FOR SPACE STATION SPECIAL TEMPORARY AUTHORITY

Not Yet Approved by OMB
Estimated Time Per Response: 0.5-80 hrs
April 2024
OMB Control Number 3060-0678

FOR OFFICIAL USE ONLY

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Review to Submit
See Instructions r? �'11'

1. Applicant Information
• Enter a description of this application to identify it on the main menu:

*FRN

Name

Attention

Doing Business As (OBA)

Title

Street Address

Phone

Street Address 2

Fax

City

Email

State

Zip Code/Postal Code

Country

2. Contact Information
O Check here if same as Licensee
*FRN

Name

*Attention

Doing Business As (DBA)

*Title

Street Address

*Phone

Street Address 2

Fax

City

*Email

State

• Relationship
-- None-

Zip Code/Postal Code

Country

STA Information
3. Related File Number

https://fccuat.servicenowservices.com/ibfs?id = app&subsystem = SAT&type= STA

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