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All Previous Editions Obsolete. APPLICATION for an FM

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All Previous Editions Obsolete. APPLICATION for an FM Federal Communications Commission Approved by OMB Washington, D.C. 20554 3060-0404 APPLICATION FOR AN FM TRANSLATOR OR FM BOOSTER STATION LICENSE GENERAL INSTRUCTIONS D. Paper Filing of Application Forms. Applicants that prepare this application in paper form should file an A. When to Use this Form. This FCC Form is to be used in original and two copies of this application and all exhibits. all cases when applying for an FM translator or FM booster Applicants should follow the procedures set forth in Part 0 broadcast station license. The form consists of the and Part 74 of the Commission's Rules. Amendments to following sections: previously filed applications should be prepared and submitted in original and two copies, signed in the same I. General Information manner as the original application, and should contain the II. Legal Qualifications following information to identify the associated application: III. Preparer's Certification (for preparer of engineering sections of the application) and Engineering Data (1) Applicant's name. (2) Call letters or specify "NEW" station. B. FCC Rules. This application form makes many references (3) Channel number. to FCC rules. Applicants should have on hand and be (4) Community of license. familiar with current broadcast rules in Title 47 of the Code (5) File number of application being amended (if of Federal Regulations (C.F.R.): known). (6) Date of filing of application being amended (if file (1) Part 0 "Commission Organization" number is not known). (2) Part 1 "Practice and Procedure" (7) Facility ID Number. (3) Part 73 "Radio Broadcast Services" (4) Part 74 "Experimental, Auxiliary, and Special E. Public Inspection File. A copy of the completed Broadcast and Other Program Distributional application and all related documents shall be made Services" available for inspection by the public. The station records should be maintained at an accessible location in one of the FCC Rules may be purchased from the Government communities of license of the translator or booster, except Printing Office. Current prices may be obtained from the that the station records of a translator or booster owned by GPO Customer Service Desk at (202) 512-1803. For the licensee of the primary station rebroadcast may be kept payment by credit card, call (202) 512-1800, M-F, 8 a.m. to at the same place where the primary station's records are 4 p.m. e.s.t; facsimile orders may be placed by dialing (202) kept. See 47 C.F.R. Sections 74.1281, 73.1125. 518-2233, 24 hours a day. Payment by check may be made to the Superintendent of Documents, Attn: New Orders, F. Defective Applications. Applicants should provide all P.O. Box 371954, Pittsburgh, PA 15250-7954. information requested by this application. No section may be omitted. Responses indicating “on file” are not C. Electronic Filing of Application Forms. The acceptable. If any portions of the application are not Commission is currently developing electronic versions of applicable, the applicant should so state. Defective or various broadcast station application and reporting forms, incomplete applications will be returned without such as this application form. As each application form and consideration. Inadvertently accepted applications are report goes online, the Commission will by Public Notice also subject to dismissal. announce its availability and the procedures to be followed for accessing and filing the application form or report G. Current Information. In accordance with 47 C.F.R. electronically via the Internet. For a six-month period Section 1.65, applicants have a continuing obligation to following the issuance of the Public Notice, the subject advise the Commission, through amendments, of any application form or report can be filed with the substantial and material changes in the information Commission either electronically or in a paper format. furnished in this application. This requirement continues Electronic filing will become mandatory, on a form-by- until the FCC action on this application is no longer subject form basis, six months after each application form or report to reconsideration by the Commission or review by any becomes available for filing electronically. court. All previous editions obsolete. FCC 350 Instructions April 2001 H. Worksheets and Certifications. This application requires The name of the applicant must be stated exactly in Item 1. applicants to certify compliance with many statutory and If the applicant is a corporation, the applicant should list regulatory requirements. Detailed instructions provide the exact corporate name; if a partnership, the name under additional information regarding Commission rules and which the partnership does business; if an unincorporated policies. These materials are designed to track the association, the name of an executive officer, his/her office, standards and criteria which the Commission applies to and the name of the association; and, if an individual determine compliance and to increase the reliability of applicant, the person's full legal name. applicant certifications. They are not intended to be a substitute for familiarity with the Communications Act and FCC Registration Number (FRN). To comply with the the Commission's regulations, policies, and precedent. Debt Collection Improvement Act of 1996, the applicant While applicants are required to review all application must enter its FRN number, a ten-digit unique entity instructions, they are not required to complete or retain any identifier for anyone doing business with the documentation created or collected to complete the Commission. The FRN can be obtained through the FCC application. webpage at http://www.fcc.gov or by manually submitting FCC Form 160. FCC Form 160 is available I. Exhibits. This application is presented primarily in a for downloading from http://www.fcc.gov/formpage. "Yes/No" certification format. However, it contains places html or by calling 1-800-418-3676. Questions for submitting explanations and exhibits where necessary or concerning the FCC Registration Number can be directed appropriate. Each certification constitutes a material to the Commission’s Registration System help desk at representation. Applicants may only mark the "Yes" http://[email protected] or by calling 1-877- certification when they are certain that the response is 480-3201. correct. A "No" response is required if the applicant is requesting a waiver of a pertinent rule and/or policy, or Facility ID Number. Radio and TV Facility ID Numbers where the applicant is uncertain that the application fully can be obtained at the FCC's Internet Website at satisfies the pertinent rule and/or policy. Thus, a "No" www.fcc.gov/mmb. Once at this website, scroll down and response to a certification item will not cause the select CDBS Public Access. You can also obtain your immediate dismissal of the application if this form provides facility ID number by calling: Radio (202) 418-2700, TV an “Exhibit Box” for the item, indicating that filing an (202) 418-1600. Further, the Facility ID Number is now exhibit is acceptable, and if an appropriate exhibit is included on all Radio and TV authorizations and postcards. submitted. B. Item 2: Contact Representative. If the applicant is J. Signatures. The applicant, or the applicant's represented by a third party (for example, legal counsel), authorized representative, must sign the application. that person's name, firm or company, and Depending on the nature of the applicant, the application telephone/electronic mail address may be specified in Item should be signed as follows: if a sole proprietorship, 2. personally; if a partnership, by a general partner; if a corporation, by an officer; for an unincorporated C. Item 3: Fees. The Commission is statutorily required to association, by a member who is an officer; if a collect charges for certain regulatory services to the public. governmental entity, by such duly elected or appointed Generally, applicants seeking authority to construct a new official as is competent under the laws of the particular broadcast station or modify an outstanding authorization jurisdiction. Counsel may sign the application for his or are required to submit a fee with the filing of FCC Form her client, but only in cases of the applicant's disability or 350. Government entities, however, are exempt from this absence from the United States. If the application is filed fee requirement. Exempt entities include possessions, electronically, the signature will consist of the electronic states, cities, counties, towns, villages, municipal equivalent of the typed name of the individual. See Report organizations, and political organizations or subparts and Order in MM Docket No. 98-43, 13 FCC Rcd 23,056, thereof governed by elected or appointed officials 23,064 (1998). exercising sovereign direction over communities or governmental programs. Also exempt are full-service noncommercial educational radio and TV broadcast INSTRUCTIONS FOR SECTION I: GENERAL licensees and permittees, provided that the proposed INFORMATION facility will be operated noncommercially. See 47 C.F.R. Section 1.1114. A. Item 1: Applicant Name. Applicants should use only those state abbreviations approved by the U.S. Postal When filing a fee-exempt application, an applicant must Service. complete Item 3 and provide an explanation as appropriate. Applications NOT subject to a fee may be hand-delivered 2 or mailed to the FCC at its Washington, D.C. offices. See For further information regarding the applicability of a fee, 47 C.F.R. Section 0.401(a). Fee-exempt applications the amount of the fee, or the payment of the fee, applicants should not be sent to the Mellon Bank Lockbox; so doing should consult the "Mass Media Services Fee Filing will result in a delay in processing the application. Guide." The Commission's fee collection program utilizes a U.S. Treasury lockbox bank for maximum efficiency of INSTRUCTIONS FOR SECTION II: LEGAL collection and processing. Prior to the institution of INFORMATION electronic filing procedures, all FCC Form 350 applications requiring the remittance of a fee, or for which a waiver or A.
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