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ROA-New Form

ICR 202606-3060-007 · OMB 3060-0357 · Object 169402901.

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Document Metadata
File Typeapplication/pdf
File TitleROA-New Form
AuthorCathy Williams
File Modified2026-06-02
File Created2025-05-14
Conversion Statecomplete
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

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.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