Document
ROA-New Form
ICR 202606-3060-007 · OMB 3060-0357 · Object 169402901.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | ROA-New Form |
| Author | Cathy Williams |
| File Modified | 2026-06-02 |
| File Created | 2025-05-14 |
| Conversion State | complete |
Extracted Text
ICFS Form - ICFS Portal https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=ROA&... • Indicates required FCC 240 ROA-NEW FEDERAL COMMUNICATIONS COMMISSION FCC Application for Designation as a Recognized Operating Agency (ROA) Appnncd by 0MB 3060-0357 Estimated Time Per Response: 3 hours Edition Date:May2025 I Save as Draft Review to Submit I See Instructions r! Print Form r! .1....Applicant laformatjon *FRN Name Attention Doing Business As (DBA) Title Street Address Phone Street Address 2 Fax City Email State • Applicant/Licensee Legal Entity Type - None-- Zip Code/Postal Code Country 2. Contact Information O Check here if same as Applicant FRN Name Attention Doing Business As (DBA) Title Street Address Phone Street Address 2 Fax City Email Contact State • Relationship - None-Zip Code/Postal Code Country l of3 5/7/2025, 8:37 AM