This collection has been assigned an OMB control number of 3060-0678.

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. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PLEASE DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. 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-PERM, Paperwork Reduction Project (3060-0678), Washington, DC 20554. The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required dĪta, and completing and reviewing the collection of information. Code, Title 47, Section 503).įCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT

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