Wireless E911 Coordination Initiative Letter

Approved by OMB

Attachment B

3060-1060

Suggested format for submission

Expires:

7/31/2007

Estimated time per response: .75 hours

PSAP ID

County

Agency/Department

PSAP Status

Contact Name

Telephone

E-mail

Mailing Address

City

ZipCode

7696

Cook/Easton/Taylor

Tri-County EOC

Phase II

Brian Jones

703-555-1212

bjones@cookems.gov

1212 Elm Street

Maple

49076

xxxx

Wayne

Calhoun County EOC

Phase I

Marian Smith

xxx-xxx-xxxx

m.smith@calhoun.gov

401 Charles Street

St. Louis

xxxxx

FCC NOTICE FOR INDIVIDUALS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995 The public reporting for this collection of information is estimated to average .75 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. 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 (3060-1060), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to Judith-B.Herman@fcc.gov. PLEASE DO NOT SEND YOUR RESPONSE TO THIS ADDRESS. 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. This collection has been assigned an OMB control number of 3060-1060. THE FOREGOING NOTICE IS REQUIRED BY THE PAPEWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.