State, Local or Tribal Government

Master PSAP Registry Form

Not Yet Approved by OMB

3060-1060

Expires:

Suggested format for submission

Estimated time per response: .75 hours

PSAP ID

County

City

State

Agency/Department

PSAP Status

If secondary,

Contact Name

Telephone

E-mail

Mailing Address

City

ZipCode

Request

Type

primary or secondary

primary PSAP ID

Add, Orphan or Modify

xxxx

xxx-xxx-xxxx

xxxx

xxx-xxx-xxxx

PRIVACY ACT STATEMENT Authority: The Commission is authorized to pursue this collection pursuant to the authority contained in 47 U.S.C. §§ 151, 154(i), 251(e). Purpose: The Commission compiles and maintains a database of Public Safety Answering Points, called the Master PSAP Registry, as part of its effort to support the expeditious implementation of Enhanced 911 (E911) across the nation. Periodically, the Commission sends out letters to state officials requesting specific data to populate the database with accurate information. In addition, 911 Authorities may contact the Commission by sending this form to a designated email address to update the listings in the Master PSAP Registry. This form collects business contact information, which the Commission uses for implementation activities. Routine Uses: The FCC may release information provided in this form when necessary and appropriate under 5 U.S.C. § 552a(b) of the Privacy Act to: the public in FCC releases of notices or actions or when required to comply with federal laws or FCC regulations requiring public disclosure of the information contained in our records; to third parties, including individuals and businesses in the communications industry and public safety, FCC vendors and their contractors, and to other federal agencies or state, local, U.S. territorial, and Tribal government entities to administer, support, participate in, or receive information related to, FCC programs and activities; or to ensure compliance with the confidentiality and other rules regarding information sharing in the FCC’s programs and activities; to other federal agencies or to other administrative or adjudicative bodies before which the FCC is authorized to appear; to federal, state, or local law enforcement when FCC becomes aware of an indication of a violation or potential violation of a civil or criminal statute, law, regulation, or order; to federal agencies, non-federal entities, their employees, and agents for the purpose of detecting and preventing fraud, waste, and abuse in federal programs; to non-federal personnel, including contractors, grantees, and volunteers who have been engaged to assist the FCC in the performance of a contract service, grant, cooperative agreement, or other activity related to this system of records and who need to have access to the records in order to perform their activity; and, to  appropriate agencies, entities, and persons when the FCC suspects or has confirmed that there has been a breach of information related to this system.  A complete list of the routine uses can be found in the system of records notice associated with this collection, FCC-2, Business Contacts and Certifications, posted at https://www.fcc.gov/managing-director/privacy-transparency/privacy-act-information. Disclosure: Submission of this form is voluntary. However, failure to provide complete information to the FCC, including name, contact information, and/or other necessary personally identifiable information (PII), could result in the inclusion of partial or incomplete information in the Master PSAP Registry. FCC NOTICE FOR INDIVIDUALS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995 The public reporting for this collection of information is estimated to average .75 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, AMD-PPM, Paperwork Reduction Project (3060-1060), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to [email protected]. PLEASE DO NOT SEND YOUR SPREADSHEETS 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 or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1060. THE FOREGOING NOTICE IS REQUIRED BY THE PAPEWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.