FEDERAL COMMUNICATIONS COMMISSION
Washington, D.C. 20554

Approved by OMB
3060-0059

STATEMENT REGARDING THE IMPORTATION OF RADIO FREQUENCY DEVICES CAPABLE OF
CAUSING HARMFUL INTERFERENCE(Read instructions before completing form. Please type or print clearly in ink.)

Part I - All Blocks MUST Be Completed
Date of Entry

Entry Number

Device Model/Type Name or #Port of Entry1

Trade Name

Manufacturer’s Name and Address

Printed or Typed Name of Importer or Consignee

Harmonized Tariff Number2

Quantity of Item (not number of containers)3

FCC ID

Consignee’s Name and Address

Description of Equipment

Importer’s Name and Address

Signature of Importer or Consignee

Date (Month/Day/Year)

Warning: Any person who knowingly makes a false declaration may be fined not more than $250,000 or imprisoned not morethan 5 years, or both, pursuant to 18 U.S.C. § 1001.

Part II - With Regard to the Importation of the Described Radio Frequency Device(s), I DECLARE THAT:(Place an “X” in only one box)

1. The FCC has issued a grant of equipment authorization for the FCC ID listed above.
2. An FCC grant of equipment authorization and an FCC ID are not required, but the equipment complies with FCC technicalrequirements.
3. The described equipment is being imported in limited quantities for testing and evaluation for compliance with technicalrequirements or marketing suitability. The equipment will not be offered for sale or otherwise marketed. (See Instructions)4. The described equipment is being imported in limited quantities for demonstration at industry trade shows and will not be offered
for sale or otherwise marketed. (See Instructions)5. The described equipment is being imported solely for export. It will not be offered for sale or otherwise marketed in the U.S.
5(a). The described equipment is a non-U.S. standard cellular phone that can only function outside of the U.S. (See Instructions)6. The described equipment is being imported for use exclusively by the U.S. Government.
7. Three or fewer radio receivers, computers, or other unintentional radiators as defined in Part 15 of the FCC Rules, are being
imported for an individual’s personal use and are not intended for sale.
8. The described equipment is being imported for repair and will not be offered for sale or otherwise marketed.
1.
2.
3.

Port of Entry Use Schedule D – Classification of U.S. Customs Districts and Ports for U.S. Foreign Trade Statistics – a four digit code i.e., NewYork City, NY 1001.
Harmonized Tariff Number – Harmonized Tariff Schedule of the United States.
This quantity must be total number of items, not number of containers.

FCC Form 740

March 2004

INSTRUCTIONS FOR COMPLETION OF FCC FORM 740
This form must be completed for each radio frequency device, as defined in 47 U.S.C. 302 and 47 C.F.R. 2.801, which is imported into theCustoms territory of the United States. The original shall be filed with the U.S Customs Service on or before the date the shipment isdelivered to a U.S. port of entry.
The completed form must accompany each such entry.
The following are typical examples of devices that require the use of FCC Form 740: radio and TV receivers, converters, transmitters,transmitting devices, radio frequency amplifiers, microwave ovens, industrial heaters, ultrasonic equipment, transceivers, and computers.
Marketing, as used in this form (and 47 C.F.R. 2.1201 et seq.), means sale or lease (including advertising for sale or lease, or display at atrade show) or import, ship or distribute for the purpose of selling or leasing or offering for sale or lease.
Limited quantities, as used in this form, are the number specified in 47 C.F.R. 2.1204(a)(3). Waivers of this limit are infrequently granted
but may be requested from the FCC office listed in 47 C.F.R. 2.1204(a)(3)(iii). Written waiver requests must contain specific information
required by that office.
Equipment imported for test, evaluation or display (see import conditions 3 or 4 of Part II of this form) may not be marketed (sold orleased, offered for sale or lease, advertised, etc.). Display of this equipment must include markings clearly indicating that the device(s) arenot eligible for sale. See 47 C.F.R. 2.803 for details regarding this labeling.
Wireless telephony devices that do not have a FCC grant of equipment authorization must either comply with 47 C.F.R. 2.1204(a)(5) or 47
C.F.R. 2.803(a)(2) (e.g., Verification or Declaration of Conformity is required).
The identification (company name and model number/FCC ID) of the radio frequency device specified on the front of this form must be
identical to the company name and model number/FCC ID inscribed on the device. If the device being imported requires an equipment
authorization to be issued by the FCC (e.g., Certification), it is important that the name of the company, description of the device and FCC
ID specified on the grant of equipment authorization agree exactly with the same information shown on the front of this form. Any
discrepancy between the information on this form and the FCC grant of equipment authorization may result in unnecessary delays,
additional expense, or enforcement action.

FCC Form 740 may be reproduced provided the following conditions are met (see 47 C.F.R. 0.409, Commission Policy on
Private Printing of FCC Forms.) Some of the conditions are listed below:
1.

That private companies reproducing the form use a printing process resulting in a product that is comparable to the original
document;

2.

That private companies reproducing the form refrain from including therein or attaching thereto any advertising matter or deleting any
material from the form;

3.

That private companies reproducing the form exercise care that the form being reproduced or distributed is the current edition
presently used by the FCC for the type of application involved: such private company to be advised that, though the Commission will
endeavor to keep the public advised of revisions of the form, it cannot assume responsibility to the extent of eliminating any element
or risk against overstocking, etc.

PAPERWORK REDUCTION ACT STATEMENT AND PRIVACY ACT STATEMENT
The solicitation of information requested on this form is authorized by the Communications Act of 1934, as amended. The informationcollected will be used to ascertain whether equipment authorization is required, and if so, whether or not it has been granted. If all theinformation is not provided the importation of this or other shipments may be delayed or prevented. Accordingly, every effort should bemade to provide all necessary information. Your response is required to obtain a benefit.
Public reporting for this collection of information is estimated to average .04 seconds per response, including the time for reviewing
instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection ofinformation. Comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, should be sent to the Federal Communications Commission, Performance and Evaluations and Records
Management, Washington, DC 20554, Paperwork Reduction Project (3060-0059) DO NOT SEND COMPLETED FORMS TO THISADDRESS. Individuals are not required to respond to a collection of information unless it displays a currently valid OMB control
number.
THE FOREGOING NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, P.L. 93-579, DECEMBER 31, 1974, 5 U.S.C.
552A(E)(3), AND THE PAPERWORK REDUCTION ACT OF 1995, P.L. 104-13, OCTOBER 1, 1995, 44 U.S.C. 3507.
FCC Form 740 instructions – Page 2March 2004