Fcc Form 445 - Calea Monitoring Report For Broadband And Voip Services Form printable pdf download

Fcc Form 445 - Calea Monitoring Report For Broadband And Voip Services Form

FCC Form 445

OMB 3060-0809

FEDERAL COMMUNICATIONS COMMISSION

CALEA Monitoring Report for Broadband Access and VOIP Services

Notice to Individuals Required by the Privacy Act of 1974 and the Paperwork Reduction

Act of 1995

Public reporting burden for this collection of information is estimated to range from 1 hour to 80 hours per

response, including the time for reviewing instructions, searching existing data sources, gathering and

maintaining the data needed, and completing and reviewing the collection of information. Send comments

regarding this burden estimate, or any other aspect of this collection of information, including suggestions

for reducing the burden to Federal Communications Commission, AMD-PERM, Washington, DC 20554,

Paperwork Reduction Project (3060-0809), or via the Internet to PRA@fcc.gov.

DO NOT SEND

COMPLETED APPLICATION FORMS TO THIS ADDRESS.

Individuals are not required to respond to a collection of information unless it displays a currently valid

OMB control number. This collection has been assigned OMB control number 3060-0809.

As of December 3, 2001, all parties and entities doing business with the Commission must obtain a unique

identifying number called the FCC Registration Number (FRN) and supply it when doing business with the

Commission. Failure to provide the FRN may delay the processing of the application. This requirement is

to facilitate compliance with the Debt Collection Improvement Act of 1996 (DCIA). The FRN can be

obtained electronically through the FCC webpage at

https://svartifoss2.fcc.gov/cores/CoresHome.html

by manually submitting FCC Form 160. FCC Form 160 is available from the FCC’s web site at

, by calling the FCC’s Forms Distribution Center 800-418-FORM

(3676), or from Right Fax by dialing (202) 418-0177.

If you owe a past debt to the Federal Government, any information you provide may also be disclosed to

the Department of Treasury Financial Management Service, other federal agencies and/or your employer to

offset your salary, IRS tax refund or other payments to collect that debt. The FCC may also provide this

information to these agencies through the matching of computer records when authorized. In addition, all

information provided in this form will be available for public inspection. If information requested on the

form is not provided, processing of the application may be delayed or the application may be returned

without action.

This notice is required by the Privacy Act of 1974, Public Law 93-579, December 31, 1974, 5 U.S.C.

Section 552a(e)(3) and the Paperwork Reduction Act of 1995, Public Law 104-13, October 1, 1995, 44

U.S.C. 3507.

Fcc Form 445 - Calea Monitoring Report For Broadband And Voip Services Form