Federal Communications Commission
Washington, D.C. 20554		 Approved by OMB
3060-1034 (June 2010)
FOR FCC USE ONLY
 

FCC 335-FM
DIGITAL NOTIFICATION

 FOR COMMISSION USE ONLY
FILE NO. -
Section I - General Information
1. Legal Name of the Applicant
Mailing Address (1)
Mailing Address (2)
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 ID Number 
2. Contact Representative (if other than licensee/permittee)
 Firm or Company Name
Mailing Address (1)
Mailing Address (2)
City
 State or Country (if foreign address)
 ZIP Code
-
Telephone Number (include area code)
 E-Mail Address (if available)
3.
Community of License
City: State:
4. Digital broadcasts commenced on:
5.
In the event of interference, questions should be directed to licensee's technical representative:
Name Telephone Number (include area code, omit dashes)
Certification
I hereby certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.
Typed or Printed Name of Person Signing
 		Typed or Printed Title of Person Signing
Signature

 Date

WILLFUL FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

We have estimated that each response to this collection of information will take on average 1 hour. 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 burden estimate, or on how we can improve the collection and reduce the burden it causes you, please e-mail them to pra@fcc.gov or send them to the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-1034), Washington, DC 20554. 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 of if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-1034.

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

Exhibits