IC Title:  
                        Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services - state, local or tribal govts 
                        Agency IC Tracking Number:  
                        WT 
                     
                    
                          
                     
                    
                        
                        
                        Is this a Common Form?  
                            
                            
                                No
                            
                            
                         
                        
                        IC Status:  
                            Modified 
                     
                    
                          
                     
                    
                    
                        Obligation to Respond:  
                            Required to Obtain or Retain Benefits
                         
                     
                    
                          
                     
                    
                        CFR Citation:  
                        
                        
                        
                               
                               
							   47 CFR Pt. 87
							   
                               
                         
                       
                        
                               
                               
							   47 CFR Pt. 13
							   
                               
                         
                       
                        
                               
                               
							   47 CFR Pt. 97
							   
                               
                         
                       
                        
                               
                               
							   47 CFR Pt . 80
							   
                               
                         
                       
                        
                               
                               
							   47 CFR Pt. 95
							   
                               
                         
                       
                       
	            	    (To search for a specific CFR, visit the Code of Federal Regulations. )
	                   
                         
                     
                
                 
		Information Collection Instruments: 
		
			
				Document Type 
				Form No. 
				Form Name 
				Instrument File 
				URL 
				Available Electronically? 
				Can Be Submitted Electronically? 
				Electronic Capability 
			 
		
			
				Form and Instruction 
				FCC 605 Main 
				
				
				
					
						Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services
					 
				
				 
				
				
				
					
						0850_FCC605_MAIN_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule A 
				
				
				
					
						Schedule for Changes Affecting Multiple Call Signs or Files Numbers for FCC Form 605
					 
				
				 
				
				
				
					
						0850_FCC605A_05411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule B 
				
				
				
					
						Instructions for Schedule for Additional Data for the Ship Radio Service (Part 80)
					 
				
				 
				
				
				
					
						0850_FCC605B_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule C 
				
				
				
					
						Instructions for Schedule for Additional Data for the Aircraft Radio Service (Part 87)
					 
				
				 
				
				
				
					
						0850_FCC605C_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule D 
				
				
				
					
						Instructions for Schedule for Additional Data in the Amateur Radio Service
					 
				
				 
				
				
				
					
						0850_FCC605D_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule F 
				
				
				
					
						Instructions for Temporary Operator Permit for the Ship, Aircraft, Restricted Radiotelephone, Restricted Radiotelephone-Limited Use, and GMRS Radio Services
					 
				
				 
				
				
				
					
						0850_FCC605F_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule E 
				
				
				
					
						Instructions for Schedule for Additional Data for the Commercial Radio, Restricted Radiotelephone, and Restricted Radiotelephone-Limited Use Radio Services
					 
				
				 
				
				
				
					
						0850_FCC605E_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
			
				Form and Instruction 
				FCC Form 605, Schedule G 
				
				
				
					
						Instructions for Schedule for Exemption from Ship Station Requirements (Part 80)
					 
				
				 
				
				
				
					
						0850_FCC605G_050411.doc
					 
				
				 
				 
			
				Yes 
			
			
			
			
			
				Yes 
			
			
			
			
				Fillable Fileable Signable 
			 
		
		
             
            Federal Enterprise Architecture Business Reference Module  
            
                
                    Line of Business:  
                       General Government
                     
                    Subfunction:  
                       Central Fiscal Operations
                     
                 
            
             
            
                
                    Privacy Act System of Records  
                     
                 
                
                	
                    	Title:  
                        	 
                    	 
                    	FR Citation:  
                    	 
                    	    
                       
                 	 
                    
                 
            
             
            
                
                    
                        Number of Respondents:  
                        43,333
                     
                    
                        Number of Respondents for Small Entity:  
                        0
                     
                 
                
                      
                      
                 
                
                    
                        Affected Public:  
                        State, Local, and Tribal Governments
                     
                    
                       
                     
                 
                
                      
                 
                
                    Percentage
                    of Respondents Reporting Electronically:   
                    	97
                     
                     %
                     
                     
                 
            
             
            
            
                
                      
                    Approved 
                    Program Change Due to New Statute 
                    Program Change Due to Agency Discretion 
                    Change Due to Adjustment in Agency Estimate 
                    Change Due to Potential Violation of the PRA 
                    Previously Approved 
                 
                
                    Annual Number of Responses for this IC 
                    43,333 
                    0 
                    0 
                    -15,000 
                    0 
                    58,333 
                 
                
                    Annual IC Time Burden (Hours) 
                    19,067 
                    0 
                    0 
                    -6,600 
                    0 
                    25,667 
                 
                
                    Annual IC Cost Burden (Dollars) 
                    892,233 
                    0 
                    0 
                    46,238 
                    0 
                    845,995 
                 
            
       
        
			 
            Documents for IC 
            
                
                    Title 
                    Document 
                    Date Uploaded 
                 
              
               
                    
                    	
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