Download:
pdf |
pdf7/23/24, 5:07 PM
ICFS Form - ICFS Portal
Indicates required
FCC 235
ISP-WAV
FEDERAL COMMUNICATIONS COMMISSION
Section 310(b) Petition for Declaratory Ruling Waiver of Sections 1.5000-1.5004 of the Commission's Rules
Save as Draft
Approved by OMB
3060-1163
Estimated Time Per Response: 2 Hours
Edition Date: August 2024
Review to Submit
See Instructions Print Form
A.1 Waiver Parent File Number
A.2 Waiver Parent Callsign
1. Applicant Information
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
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
Application Information
3. Brief Application Description
4. Does the Petitioner have a current declaratory ruling to permit foreign investment above the benchmarks in section 310(b) of the Act?
Yes
No
Application Fees
5. Will a fee be paid?
Yes
No
5.a. If yes, select the appropriate fee code for the application.
DAF
(Clear field 5.a. If yes, select the appropriate fee code for the application.)
Fee Amount
$375
Attachments/Confidential Treatment of Attachments
https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=ISP&type=WAV
1/2
7/23/24, 5:07 PM
ICFS Form - ICFS Portal
6. Is the Applicant requesting confidential treatment of an attachment(s) under section 0.459 of the Commission's rules?
Yes
No
Attachment No.
File Name
Description of Attachment
Confidential
Action
No Attached Files
Attach File
General Certification Statements
7. In submitting this form,
• The Applicant certifies that it has submitted all statements and exhibits to support this waiver request.
• The Applicant certifies that neither it nor any other party to the application is subject to a denial of Federal benefits, including FCC benefits, pursuant to section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862, because of a conviction for possession or distribution of a
controlled substance. See 47 CFR § 1.2002(b) for the meaning of "party to the application" for these purposes. (This certification does not apply to applications filed in services exempted under § 1.2002(c) of the rules, or to Federal, State or local governmental entities or
subdivisions thereof. See 47 CFR § 1.2002(c).)
• The Applicant certifies that all of its statements made in this Application and in the attachments or documents incorporated by reference are material, are part of this Application, and are true, complete, correct, and made in good faith.
8. Party Authorized to Sign
First Name
MI
Last Name
Suffix
Title
Signature
Date
FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL
OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE
BY FINE AND/OR IMPRISONMENT (US Code, Title 18, Section 1001),
AND/OR REVOCATION OF ANY STATION AUTHORIZATION
(US Code, Title 47 Section 312(a)), AND/OR FORFEITURE (US Code, Title 47 Section 503)
Save as Draft
Review to Submit
Required information
FRN
Applicant/Licensee Legal Entity Type
FRN
Relationship
3. Brief Application Description
4. Does the Petitioner have a current declaratory ruling to permit foreign investment above the benchmarks in section 310(b) of the Act?
6. Is the Applicant requesting confidential treatment of an attachment(s) under section 0.459 of the Commission's rules?
7. In submitting this form,
First Name
Last Name
https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=ISP&type=WAV
Title
Signature
2/2
| File Type | application/pdf |
| File Title | ICFS Form - ICFS Portal |
| File Modified | 2024-07-24 |
| File Created | 2024-07-23 |