FCC Form 855 Instructions (11.18.2024) (Revised)

Federal Communications Commission
Washington, D.C. 20554

Not Approved by OMB
OMB Control No. 3060-0999
Estimated Response Time: 0.5 Hours

FCC FORM 855: HEARING AID COMPATIBILITY CERTIFICATION
INSTRUCTIONS FOR HANDSET MANUFACTURERS AND SERVICE PROVIDERS
Contents
I. Purpose of FCC Form 855 Certifications -------------------------------------------------------------- 2
II. Handset Manufacturers and Service Providers Must File FCC Form 855 Certifications ------- 2
III. Accessing the Commission’s Electronic Filing System --------------------------------------------- 2
A. Obtaining an FCC Registration Number (FRN) -------------------------------------------------- 2
B. Accessing the FCC Form 855 Certification Site -------------------------------------------------- 3
IV. Instructions for Completing FCC Form 855 Certifications------------------------------------------ 3
A. Company Information -------------------------------------------------------------------------------- 3
B. Certification-------------------------------------------------------------------------------------------- 7
C. Signing Executive and Contact Information ------------------------------------------------------ 8
V. Submitting, Updating, and Printing Filed FCC Form 855 Certifications -------------------------- 8
VI. FCC Notice Required by the Paperwork Reduction Act of 1995 ----------------------------------- 9
Appendix
Figure 1 Register and Receive an FCC Registration Number ....................................................... 10
Figure 2 Login Page ...................................................................................................................... 11
Figure 3 License Manager Page .................................................................................................... 12
Figure 4 My Applications Page—Summary ................................................................................. 13
Figure 5 Company Information Page ............................................................................................ 14
Figure 6 Company Information Page—Handset Manufacturer..................................................... 15
Figure 7 Company Information Page—Nationwide Service Provider .......................................... 16
Figure 8 Company Information Page—Non-Nationwide Service Provider .................................. 17
Figure 9 Company Information Page—Digital Labeling Technology .......................................... 18
Figure 10 Certification Page—Company with a Publicly Accessible Website ............................. 19
Figure 11 Certification Page—Company without a Publicly Accessible Website ........................ 20
Figure 12 Certification Page—Compliance .................................................................................. 21
Figure 13 Certification Page—Compan(ies) Covered by This Certification ................................ 22
Figure 14 Certification Page—Signing Executive and Contact Information ................................ 23
Figure 15 Attachment Utility Page ................................................................................................ 24
Figure 16 Return to Filing Page .................................................................................................... 25
Figure 17 Confirmation Page ........................................................................................................ 26
Figure 18 My Applications Page—Saved Certification ................................................................ 27
Figure 19 My Applications Page—Submitted Certification ......................................................... 28

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I.

PURPOSE OF FCC FORM 855 CERTIFICATIONS

The Federal Communications Commission (FCC or Commission) requires handset
manufacturers and service providers to annually file FCC Form 855 certifications to ensure their
compliance with the Commission’s wireless hearing aid compatibility (HAC) rules at 47 CFR
§ 20.19. The information that FCC Form 855 collects allows the Commission to ensure that
handset manufacturers and service providers are in full compliance with the Commission’s
handset model deployment benchmarks, labeling and disclosure requirements, and website
posting requirements, among other requirements. Handset manufacturer and service provider
FCC Form 855 certification filings are due by January 31 of each year and cover the previous
calendar year from January 1 through December 31. The FCC Form 855 filing window opens
on the first business day in January each year and closes on January 31. When January 31 falls
on a weekend or holiday, the certification is due on the next business day.
II.

HANDSET MANUFACTURERS AND SERVICE PROVIDERS MUST FILE FCC
FORM 855 CERTIFICATIONS

Handset manufacturers and service providers who offer handset models for sale or use in the
United States are required to annually file FCC Form 855 certifications. The Commission
defines a handset manufacturer as a manufacturer of handset models that are used in delivery of
digital mobile service in the United States, as defined by 47 CFR § 20.19. The Commission
defines a service provider as a provider of digital mobile service in the United States, as defined
by 47 CFR § 20.19. This definition includes mobile virtual network operators (MVNOs) and
wireless resellers. The Commission defines digital mobile service as a terrestrial mobile service
that enables two-way real-time voice communications among members of the public or a
substantial portion of the public, including both interconnected and non-interconnected voice
over internet protocol (VoIP) services, to the extent that such service is provided over
frequencies specified in the 2007 ANSI standard, 2011 ANSI standard, or the 2019 ANSI
standard. The Commission defines a handset as a device used in delivery of digital mobile
service in the United States that contains a built-in speaker and is typically held to the ear in any
of its ordinary uses.
III.

ACCESSING THE COMMISSION’S ELECTRONIC FILING SYSTEM

The Commission requires that handset manufacturers and service providers electronically file
FCC Form 855 certifications. This requirement ensures that handset manufacturer and service
provider certifications include all the required information in a consistent and uniform format,
facilitates filing subsequent certifications, and enables the Commission to post filed FCC Form
855 certifications on its hearing aid compatibility website.
A. Obtaining an FCC Registration Number (FRN)
To access the Commission’s electronic filing system, each handset manufacturer and service
provider must use its FCC Registration Number (FRN). A handset manufacturer or service
provider may choose to obtain a new FRN for the purpose of filing its FCC Form 855
certification or it may use an existing FRN that has been assigned to the filer. To obtain a new
FRN or update an existing FRN, a filer must create an FCC Username Account. Once the filer
establishes an FCC Username Account, the filer can request a new FRN or link an existing FRN
to that Account. See the Wireless Licensing Knowledge Base for instructions located at
https://www.fcc.gov/wtbhelp. If an agent files FCC Form 855 certifications for multiple entities,
the agent should obtain a separate FRN for each certifying company. The same FRN can be
used for a company’s future filings. FRNs can be obtained at
https://apps.fcc.gov/cores/userLogin.do. See Figure 1.

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B. Accessing the FCC Form 855 Certification Site
The FCC Form 855 certification site can be accessed at https://www.fcc.gov/filing-hearing-aidcompatibility-reports-and-certifications. This webpage contains a link to the Commission’s
License Manager Login page which is part of the Commission’s Universal Licensing System
(ULS). See Figure 2. After logging in, the filer should click “My Reports,” then “File Hearing
Aid Compatibility Certification” on the left panel to start filing an FCC Form 855 certification.
See Figure 3. A filer can update a submitted or saved FCC Form 855 certification by clicking the
“HAC Submitted” or “Saved” link. See Figure 4. If the filer does not see the “My Reports” link,
this means the filer has already submitted an FCC Form 855 certification for the current reporting
period. The filer must then click the “HAC Submitted” link from the “My Applications”
summary page to update the filer’s certification. See Figure 4. This restriction prevents a filer
from submitting two FCC Form 855 certifications for the same reporting period (i.e., submitting a
new certification rather than amending the existing certification).
IV.

INSTRUCTIONS FOR COMPLETING FCC FORM 855 CERTIFICATIONS

The Commission’s electronic filing system is designed to be user-friendly with many illustrative
texts and information icons. A filer must provide all the requested information to complete and
file its certification. The filer can edit the information it is providing as the filer moves through
the electronic form. Letters, numbers, and common punctuation characters may be used to enter
required information. The system will accept the following characters: , . ' _ - ( ) ? ! @ [ ] : ; # " $
| / &. Common word processing software, however, will often embed hidden characters that
convey additional information, typically about formatting, and are considered “invalid characters”
by the electronic version of FCC Form 855. Invalid characters are detected by the Commission’s
data entry system when copying text from word processing software into a data entry field. These
characters may appear as a square or other symbol such as + ~ * etc. Instead of copying
information from word processing software, one alternative is to copy the required information
from a basic text editor that does not embed hidden characters. Windows Notepad is an example
of a basic text editor. Another alternative is to delete the text and re-key the information directly
into the data entry field.
A. Company Information
A filer must answer each of the following questions and ensure that the information the filer is
providing is accurate and complete. Commission staff will review the filer’s answers to the
questions below to ensure that for the reporting period the filer’s company was in full compliance
with the Commission’s wireless hearing aid compatibility rules.
Answer the Question: “Specify below if your company is filing as a handset manufacturer, a
nationwide service provider, or a non-nationwide service provider.” See Figure 6. Depending on
how the filer answers this question, a second question will appear requiring a handset
manufacturer to answer whether for the reporting period the company ceased offering handset
models for sale or use in the United States. See Figure 6. Nationwide and non-nationwide
service providers must answer the question whether for the reporting period their company ceased
offering wireless service in the United States. See Figures 7 and 8. Filers should answer the
applicable second question “yes” or “no,” as appropriate.
Answer the Question: “For the reporting period, did your company offer any non-hearing aidcompatible handset models for sale or use in the United States?” See Figure 6. Filers should
answer this question “yes” or “no” depending on which answer is correct for the filer’s company.
If a filer answers “yes” to this question, then the filer must certify that the filer’s company was
not in full compliance with the Commission’s wireless hearing aid compatibility rules for the
reporting period and provide an attachment explaining why the company offered non-hearing aid3

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compatible handset models and when this non-compliance ended or will end. See the
Certification section below.
Answer the Question: “Provide the total number of hearing aid-compatible handset models your
company offered for sale or use in the United States during the reporting period.” See Figure 6.
The filer should fill in the provided box with the total number of hearing aid-compatible handset
models that the filer’s company offered for sale or use in the United States during the reporting
period. This number will be used by Commission staff to determine if the filer’s company was in
full compliance with the Commission’s handset model deployment benchmarks for the reporting
period.
Answer the Question: “Provide the total number of hearing aid-compatible handset models your
company offered for sale or use in the United States during the reporting period that met
applicable telecoil requirements.” See Figure 6. The filer should fill in the provided box with the
total number of hearing aid-compatible handset models that the filer’s company offered for sale
or use in the United States during the reporting period that met applicable telecoil requirements.
This number will be used by Commission staff to determine if the filer’s company was in full
compliance with the Commission’s telecoil handset model deployment benchmark for the
reporting period.
Answer the Question: “Provide the total number of hearing aid-compatible handset models your
company offered for sale or use in the United States during the reporting period that met
applicable Bluetooth coupling requirements.” See Figure 6. The filer should fill in the provided
box with the total number of hearing aid-compatible handset models the filer’s company offered
for sale or use in the United States during the reporting period that met applicable Bluetooth
coupling requirements. This number will be used by Commission staff to determine if the filer’s
company was in full compliance with the Commission’s Bluetooth coupling requirements for the
reporting period.
Answer the Question: “Indicate the type of qualifying Bluetooth coupling technology.” See
Figure 6. The filer should choose either “Proprietary” or “Non-Proprietary,” depending on which
answer is correct. During the Bluetooth non-proprietary transition period, companies can use
either proprietary or non-proprietary Bluetooth coupling technologies to satisfy the Commission’s
Bluetooth coupling requirements. After the end of the Bluetooth non-proprietary transition
period, companies may only use non-proprietary Bluetooth coupling technologies to satisfy the
Commission’s Bluetooth coupling requirements.
The filer should indicate which type of Bluetooth coupling technology the filer’s company used
for the reporting period to satisfy the Commission Bluetooth coupling requirements. A filer who
answers this question by choosing a proprietary Bluetooth coupling technology after the end of
the non-proprietary Bluetooth transition period, must certify that for the reporting period the
filer’s company was not in full compliance with the Commission’s Bluetooth coupling
requirements and provide an attachment explaining why the company did not use a nonproprietary Bluetooth coupling technology to satisfy the Commission’s Bluetooth coupling
requirements and indicating when this non-compliance ended or will end. See the Certification
section below.
Answer the Question: “Provide the name of the qualifying Bluetooth coupling technology.” See
Figure 6. The filer should fill in the provided box with the name of the Bluetooth coupling
technology that the filer’s company used to satisfy the Commission’s Bluetooth coupling
requirements. After the Bluetooth non-proprietary transition period ends, the filer must ensure
that the Bluetooth coupling technology that the filer lists is a non-proprietary Bluetooth coupling
technology. Otherwise, the filer must certify that for the reporting period the filer’s company was
not in full compliance with the Commission’s Bluetooth coupling requirements and provide an
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attachment explaining why the filer’s company was not in full compliance with these
requirements and indicating when this non-compliance ended or will end. See the Certification
section below.
Answer the Question: “Does the Bluetooth coupling technology meet the requirements of 47
CFR § 20.19(b)(3)(ii)?” See Figure 6. The filer should answer this question “Yes” or “No,” as
appropriate for the filer’s company. During the non-proprietary Bluetooth transition period, a
filer’s company is encouraged to comply with the Bluetooth coupling requirements at 47 CFR
§ 20.19(b)(3)(ii) of the Commission’s rules, but the filer’s company is not required to comply
with these specific requirements. After the non-proprietary Bluetooth transition period ends, the
filer’s company must ensure that the Bluetooth coupling technology that it uses in its handset
models to meet the Commission’s Bluetooth coupling requirements meets the requirements of 47
CFR § 20.19(b)(3)(ii). Otherwise, the filer must certify that for the reporting period the filer’s
company was not in full compliance with the Commission’s Bluetooth coupling requirements and
provide an attachment explaining why the company was not in full compliance with these
requirements and indicating when this non-compliance ended or will end. See the Certification
section below.
Answer the Question: “For the reporting period, did all new handset models that your company
added to its handset model portfolio meet the volume control certification requirements as
required by 47 CFR § 20.19(c)(2), (c)(4), or (c)(6).” See Figure 6. The filer should answer this
question “Yes” or “No,” as appropriate for the filer’s company. The Commission defines a
handset model portfolio as all the handset models that a handset manufacturer or service provider
offers for sale or use in the United States. A filer who answers this question as “No” must certify
that for the reporting period the filer’s company was not in full compliance with the
Commission’s volume control certification requirements and provide an attachment explaining
why the company was not in full compliance with these requirements and indicating when this
non-compliance ended or will end. See the Certification section below.
Answer the Question: “For the reporting period, was your company in full compliance with the
labeling and disclosure requirements of 47 CFR § 20.19(f)?” See Figure 6. The filer should
answer this question “Yes” or “No,” as appropriate for the filer’s company. Section 20.19(f)(1)
of the Commission’s rules requires certain information to be printed on the external label of
handset models, and section 20.19(f)(2) requires certain information to be include within a
handset model’s packaging either in the form of a printed package insert or printed handset
manual.
A filer who answers this question as “Yes” is certifying that for the reporting period the filer’s
company was in full compliance with the Commission’s external and internal labeling and
disclosure rules. A filer who answers this question as “No” must certify that for the reporting
period the filer’s company was not in full compliance with the Commission’s labeling and
disclosure rules and provide an attachment explaining why the company was not in full
compliance with these rules and indicating when this non-compliance ended or will end. See the
Certification section below.
Handset manufacturers and service providers may use the digital labeling technology option to
deliver to consumers the information required to be included within a handset model’s packaging.
Use of this option requires full compliance with the Commission’s external printed packaging
labeling and disclosure rules. A filer whose company chose the digital labeling technology
option and was in full compliance with the Commission’s external printed packaging labeling and
disclosure rules for the reporting period should answer this question as “Yes.” See Figure 9.
A filer whose company chose the digital labeling technology option but did not comply with the
Commission’s external printed package labeling and disclosure rules for the reporting period
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must answer this question as “No.” A filer who answers this question as “No” must certify that
for the reporting period the filer’s company was not in full compliance with the Commission’s
labeling and disclosure rules and provide an attachment explaining why the company was not in
full compliance with these rules and indicating when this non-compliance ended or will end. See
the Certification section below.
Answer the Question: “For the reporting period, did your company use digital labeling
technology, as an alternative to including a printed insert or printed handset manual, to provide
consumers with the information required by 47 CFR § 20.19(f)(2)?” See Figure 6. The filer
should answer this question “Yes” or “No,” as appropriate for the filer’s company. If the filer
selects “No” as the answer to this question, then the filer is certifying that the filer’s company did
not use the digital labeling technology option to provide consumers with the information required
to be included within a handset model’s packaging and, instead, the filer’s company complied
with the Commission’s printed insert or printed handset manual rules, as well as the
Commission’s external printed package labeling rules. See the preceding question above.
If the filer answers this question as “Yes,” a second question will display asking if for the
reporting period the filer’s company was in full compliance with the Commission’s digital
labeling technology rules at 47 CFR § 20.19(f)(3). See Figure 9. The filer should answer this
question “Yes” or “No,” as appropriate for the filer’s company. A filer who answers this question
as “Yes” is certifying that for the reporting period the filer’s company was in full compliance
with the Commission’s digital technology labeling rules which includes full compliance with the
Commission’s external printed package labeling rules.
A filer who answers this second question as “No” is certifying that for the reporting period the
filer’s company used the digital labeling technology option but was not in full compliance with
the Commission’s digital labeling technology rules. See Figure 9. In this case, the filer must
certify that the filer’s company was not in full compliance with the Commission’s digital labeling
technology rules and provide an attachment explaining why the company was not in full
compliance with these rules and indicating when this non-compliance ended or will end. See the
Certification section below.
Answer the Question: “For the reporting period, did your company maintain a publicly accessible
website that provided the hearing aid compatibility information required by 47 CFR § 20.19(h)?”
See Figure 10. The filer should answer this question “Yes” or “No,” as appropriate for the filer’s
company. A filer who answers this question “Yes” must fill in the provided box with the
company’s website address where the information required by 47 CFR § 20.19(h) of the
Commission’s rules can be found. A filer who answers this question as “No” must include an
attachment with the filer’s certification that contains all the information required by 47 CFR
§ 20.19(h)(1) of the Commission’s rules. See Figure 11. A certification cannot be filed without
providing either the required website address or, in the case of a company that did not maintain a
publicly accessible website for the reporting period, the required attachment. Commission staff
will review the provided website address or the provided attachment to ensure full compliance
with the Commission’s wireless hearing aid compatibility rules, including handset model
deployment benchmarks.
A filer who answers the above question as “Yes” is certifying that for the reporting period the
filer’s company was in full compliance with the Commission’s website posting rules at 47 CFR
§ 20.19(h), including sections (h)(1), (h)(2), and (h)(3). Section 20.19(h)(1) requires handset
manufacturers and service providers who maintain publicly accessible websites to post certain
information about the handset models that they offer for sale or use in the United States. Section
20.19(h)(2) requires handset manufacturers and service providers to post to their publicly
accessible websites point-of-contact information that consumers can use to contact
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knowledgeable company employees with compatibility questions they might have about the
handset models these companies offer. Section 20.19(h)(3) requires that handset manufacturers
and service providers update their publicly accessible websites within 30 days of any relevant
changes.
A filer whose company maintained a publicly accessible website for the reporting period that was
not in full compliance with the Commission’s website posting rules must answer the above
question as “No.” The filer must certify that the filer’s company was not in full compliance with
the Commission’s website posting rules and provide an attachment explaining why the company
was not in full compliance with these rules and when this non-compliance ended or will end. See
the Certification section below.
A filer whose company used the digital labeling technology option at 47 CFR § 20.19(f)(3) of the
Commission’s rules must ensure that for the reporting period the website address that the filer
provides includes the information required by 47 CFR § 20.19(f)(2). Handset manufacturers and
service providers who do not maintain publicly accessible websites may not use the digital
labeling technology option and must ensure full compliance with the Commission’s printed
external and internal labeling and disclosure requirements.
B. Certification
A knowledgeable company executive must certify whether the filing company was either “in
full compliance” with Commission’s wireless hearing aid compatibility rules for the reporting
period or was “not in full compliance” with the Commission’s wireless hearing aid
compatibility rules for the reporting period. See Figure 12. The filer must check the
appropriate box as applicable to the filer’s company.
In Full Compliance: By checking the “in full compliance” box, the certifying company
represents and warrants, and the knowledgeable company executive is declaring under penalty
of perjury that the certification is truthful and accurate. The filing company also acknowledges
that false statements and misrepresentations to the Commission are punishable and may subject
it to enforcement action. After checking the “in full compliance” box, the filer may submit an
attachment that provides additional information about the company’s compliance or the
company’s entries on its certification form. See Figure 12. If the filer clicks on the
“Attachment” button, the filer will be transferred to the “Attachment Utility” page. See Figure
15. On this page, the filer should select “Other” from the dropdown menu in the “Type” box
and then click on the “Choose File” button right below the “Type” box to select the file to be
attached. See Figure 15. After submitting the attachment on the Attachment Utility page, the
filer should click on the “RETURN TO APPLICATION” button to go back to the certification
page. See Figure 16.
Not in Full Compliance: By checking the “not in full compliance” box, the certifying company
represents and warrants, and the knowledgeable company executive is declaring under penalty
of perjury that the certification is truthful and accurate. The filing company also acknowledges
that false statements and misrepresentations to the Commission are punishable and may subject
it to enforcement action. After checking the “not in full compliance” box, the filer must click
on the “Attachment” button to submit an attachment explaining which wireless hearing aid
compatibility requirements the filing company was not in full compliance with for the reporting
period, and when the non-compliance began and, if applicable, ended with respect to each
requirement. See Figure 12. The filer should click on the “Attachment” button and the filer
will be transferred to the “Attachment Utility” page. See Figure 15. On this page, the filer
should select “Other” from the dropdown menu in the “Type” box and then click on the
“Choose File” button right below the “Type” box to select the file to be attached. See Figure

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15. After submitting the attachment on the Attachment Utility page, the filer should click on the
“RETURN TO APPLICATION” button to go back to the certification page. See Figure 16.
Company(ies) Covered by This Certification: The filer must provide the filing company’s doing
business as name(s) or marketing name(s) under which the filing company offers handset models
for sale or use in the United States. See Figure 13. For example, if the filing company offers
handset models for sale or use in the United States under a common brand name like ABC, enter
ABC in the box. If the filing company offers handset models for sale or use in the United States
under multiply brand names enter these names in separate boxes. If the filing company has more
than five brand names, enter the first four names separately in the first four boxes, and enter all
the remaining names in the last box using format “DEF/GHI/LMN.”
C. Signing Executive and Contact Information
The signing executive must ensure that the contact information that is provided is accurate and
complete and can be used to directly contact the executive if Commission staff has a question
about the filing company’s certification. See Figure 14.
The signing executive must include his or her first and last name, middle initial, and title. The
executive must also provide his or her business address, complete phone number, including area
code and extension, email address, and the date of the certification. If the filing company is a
non-U.S. company, the company’s U.S. business office address, and phone number must be
included. If the filing company does not have a U.S. business office address, then the filer must
use its U.S. agent’s address.
Once the filer has completed the certification, the filer should click “Save and Continue” at the
bottom of the page.
V.

SUBMITTING, UPDATING, AND PRINTING FILED FCC FORM 855
CERTIFICATIONS

After completing FCC Form 855, the filer must submit the form by selecting the “Submit
Filing” button at the bottom of the Signing Executive and Contact Information screen. See
Figure 14. The filing system will then provide the filer with a Filing Confirmation Number.
See Figure 17. Filers must keep this confirmation number for their future reference. The filer
must submit the company’s certification on or before the January 31st filing deadline. A failure
to submit an FCC Form 855 certification in a timely manner may trigger a Commission
enforcement action.
Saving without Submitting a Certification: A filer can stop at any time while completing the
FCC Form 855 certification by selecting the “Quit Application” button at the top-right corner of
the screen. See Figure 5. Whenever a filer selects “Quit Application,” the pending certification
will be saved and put into the “Saved” category. See Figure 18. A “Saved” certification is not
considered to be an FCC Form 855 certification. The filer must remember to submit the
certification on or before the January 31st filing deadline. See Figure 19. A filer can submit a
saved certification by completing the certification and submitting it.
If a filer is accidentally timed out by the system, the pending certification will be placed in the
“Saved” category. The filer will need to log into the Commission’s ULS system again and
complete the pending certification.
Updating a Certification: A filer can update a saved or submitted certification at any time
before the January 31st filing deadline. A filer cannot, however, update a certification once the
January 31st deadline has passed. To update a certification, the filer must access the electronic
FCC Form 855 and go to the “Saved” category if the filer has a saved certification or the
“HAC Submitted” category if the filer has a submitted certification. See Figures 18 and 19.
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After clicking on the appropriate link, select “Continue” or “Update” to update the saved or
submitted FCC Form 855 certification. The system will take the filer directly to the Company
Information screen. See Figure 6. From there, the filer can update the certification. After
completing the update, the filer must submit the certification again for it to be considered
“HAC Submitted.” See Figure 19. A submitted FCC Form 855 certification that has been
opened for updating but not re-submitted will be placed in the “Saved” category and not the
“HAC Submitted” category.
FCC Form 855 certifications always have the purpose code of “HA.” See Figure 19. Knowing
this information will help the filer find the certification.
Printing the Certification: When the filer is on the “Filing Confirmation” screen, the filer can
view the certification by clicking the “Print Certification” button ( ) at the top of the screen.
See Figure 17. The system will generate a PDF file that contains all the information the filer
has entered into the certification as well as the FRN the filer used for filing the FCC Form 855
certification.
VI.

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995

The Commission estimates that each response to this information collection will take on
average, a half (0.5) hour. Our estimate includes the time to read the instructions, look through
existing records, gather and maintain the required data, enter the data in the on-line template,
and submitting the certification electronically. If a filer has any comments on this estimate, or
how the Commission can improve the information collection and reduce the burden it causes
filers, please write the Federal Communications Commission, AMD-PERM, Paperwork
Reduction Project (3060-0999), 45 L Street, NE, Washington, D.C. 20554. Please do not send
completed FCC Form 855 certifications to this address. The Commission also will accept
comments via the Internet if the filer sends them to PRA@fcc.gov.
Remember—Filers 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 Office of Management and Budget (OMB) control number. This
collection has been assigned an OMB control number of 3060-0999.
Handset manufacturers and service providers that offer handset models for sale or use in the
United States that fail to file FCC Form 855 certifications in a timely fashion may be subject to
penalties under the Communications Act, including sections 502 and 503(b).
THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION
ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.

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APPENDIX
Figure 1
Register and Receive an FCC Registration Number
Each certifiying company must have it’s own FCC Registration Number
(FRN). A certifiyng company can obtain a FRN here and can use the same
FRN again for future certifications.

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Figure 2
Login Page

Click Here if You
Need a FRN

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Enter Your FRN
and Password

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Figure 3
License Manager Page

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Figure 4
My Applications Page—Summary

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Figure 5
Company Information Page

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OMB Approval Date xxxxx

Figure 6
Company Information Page—Handset Manufacturer
If your Company is a
Handset Manufacturer

You Must Answer if
you Ceased Offering
Handsets in the
United States during
the Reporting Period.

15

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 7
Company Information Page—Nationwide Service Provider
If your Company is a
Nationwide Service
Provider

You Must Answer if
you Ceased Offering
Wireless Service in
the United States
during the Reporting
Period.

16

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 8
Company Information Page—Non-Nationwide Service Provider
If your Company is a
Non-Nationwide
Service Provider

You Must Answer if
you Ceased Offering
Wireless Service in
the United States
during the Reporting
Period.

17

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 9
Company Information Page—Digital Labeling Technology

If your Company
used Digital Labeling
Technology for the
Reporting Period.

You Must Answer if your
Company was in Full
Compliance with the
Digital Labeling
Technology Rules for the
Reporting Period per 47
CFR § 20.19(f)(1), (3)

18

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 10
Certification Page—Company with a Publicly Accessible Website
Company with a Publicly
Accessible Website

Indicating that you
are in the
Certification
Section.

Enter Publicly
Accessible
Website Address

19

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 11
Certification Page—Company without a Publicly Accessible Website
Company without Publicly
Accessible Website

If Your Company Didn’t
Maintain a Publicly
Accessible Website
during the Reporting
Period, You Must
Upload an Attachment
with the Information
Required by 47 CFR §
20.19(h).

20

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 12
Certification Page—Compliance

Select if your Company
was Compliant or NonCompliant for the
Reporting Period

A Non-Compliant
Company Must
Attach a Document
Explaining the Noncompliance

21

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 13
Certification Page—Compan(ies) Covered by This Certification

Enter the Name of
Company(ies) Covered
by this Certification. At
Least One is Required

22

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 14
Certification Page—Signing Executive and Contact Information

Enter the Contact
Information of the
Certifying Individual

23

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 15
Attachment Utility Page

24

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 16
Return to Filing Page

25

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 17
Confirmation Page

26

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 18
My Applications Page—Saved Certification

“Saved” Status
(but not submitted)

Continue to file
the certification

Purpose Code will be “HA”
(for Hearing Aid Compatibility
certification)

27

FCC Form 855 Instructions
OMB Approval Date xxxxx

Figure 19
My Applications Page—Submitted Certification
Submitted
Status

Update the
Certification

Confirmation
Number
Purpose Code will be “HA”
(for Hearing Aid
Compatibility certification)

28

Delete the
Certification

FCC Form 855 Instructions
OMB Approval Date xxxxx