OMB control number
Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624
OMB 3060-1230 · FCC.
OMB 3060-1230
The subject information collection provides an efficient mechanism for commercial spectrum licensees, federal spectrum users, and spectrum licensees with a public safety or safety-of-life mission to report incidents of radio interference.
The latest form for Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624 expires 2029-01-31 and is listed under ICR 202601-3060-013.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 1230 Supporting Statement_final version_012026.docx | Supporting Statement A |
 Federal Government |
Other-Screenshot: ESIX Complaint Submission Form |
| State, Local or Tribal Governments |
Other-Screenshot: ESIX Complaint Submission |
| Business or other for-profits |
Other-Screenshot: PSIX Complaint Submission |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202601-3060-013 | Extension without change of a currently approved collection | 2026-01-29 | Approved without change | |
| 202303-3060-004 | Extension without change of a currently approved collection | 2023-03-28 | Approved without change | |
| 202004-3060-006 | Extension without change of a currently approved collection | 2020-04-30 | Approved without change | |
| 201704-3060-012 | New collection (Request for a new OMB Control Number) | 2017-04-17 | Approved without change |
OMB Details
Business or other for-profits
Federal Enterprise Architecture: General Government - Central Fiscal Operations