FCC Form 340 Application for Construction Permit for Reserved Channel

Federal Communications Commission

Washington, D. C. 20554

_{FCC 340}

FOR FCC USE ONLY
FOR COMMISSION USE ONLY FILE NO.

Not Approved by OMB

3060-0029

APPLICATION FOR CONSTRUCTION PERMIT FOR RESERVED CHANNEL NONCOMMERCIAL EDUCATIONAL BROADCAST STATION

Section I - General Information

Legal Name of the Licensee/Permittee
Mailing Address
City		State or Country (if foreign address)		ZIP Code
Telephone Number (include area code)		E-Mail Address (if available)
FCC Registration Number	Call Sign		Facility Identifier

_1.

Contact Representative (if other than applicant)	Firm or Company Name
Mailing Address
City	State or Country (if foreign address)	ZIP Code
Telephone Number (include area code)	E-Mail Address (if available)

_2.

3. Is this application being filed in response to a window?

_{If Yes, specify closing date and/or window number:}

Yes No

4. Application Purpose.

^{New station} Major Modification of construction permit

^{Major Change in licensed facility} _{Minor Modification of construction permit}

_{Minor Change in licensed facility}

Major Amendment to pending application

Minor Amendment to pending application

^{a. File number of original construction permit:} _N/A

b. Service Type: _{FM TV}

DTV

DTS DTV - S

c. DTV Type:

Pre-Transition

Post-Transition

_Both

_{d. Community of License: City}

State

e. Facility Type: _{Main Auxiliary}

If an amendment, submit as an Exhibit a listing by Section and Question Number of the portions of the pending application that are being revised.

Exhibit No.

FCC Form 340

Draft

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

We have estimated that each response to this collection of information will take 6 hours. Our estimate includes the time to read the instructions, look through existing records, gather and maintain the required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-0029), Washington, DC 20554. We will also accept your comments via the Internet if your send them to pra@fcc.gov. Please DO NOT SEND COMPLETED APPLICATIONS 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 3060-0029.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13, OCTOBER 1, 1995, 44 U.S.C. 3507

*These are the only two pages that have proposed changes to them for the FCC Form 340. All other pages remain the same.

FCC Form 340

Draft