Federal Communications Commission Approved by OMB 

Washington, DC 20554 OMB Control No.3060-0110 

 Estimated Time per Response – 1.25 to 12 hours

All previous editions obsolete. Form 2100, Schedule 303-S Instructions 

March 2019 

INSTRUCTIONS - FORM 2100, SCHEDULE 303-S – RENEWAL OF BROADCAST 

STATION LICENSE 

The following Instructions track the Renewal of Radio Broadcast Station License Applications in LMS: 

 

GENERAL INSTRUCTIONS 

Introduction. Form 2100, Schedule 303-S (Schedule 303-S) is used to apply for renewal of license of a 

commercial or noncommercial educational AM, FM, TV, Class A TV, FM translator, TV translator, Low Power 

TV or Low Power FM broadcast station. It is also used in seeking the joint renewal of licenses for an FM or TV 

translator station and its co-owned primary AM, FM, TV or LPTV station. 

 

FCC Rules. Schedule 303-S and these instructions make many references to the FCC’s rules. Applicants 

should have on hand and be familiar with current broadcast rules in Title 47 of the Code of Federal Regulations 

(CFR): 

 (1) Part 0 “Commission Organization” 

 (2) Part 1 “Practice and Procedure” 

 (3) Part 17 “Construction, Marking, and Lighting of Antenna Structures” 

 (4) Part 73 “Radio Broadcast Services” 

(5) Part 74 “Experimental Radio, Auxiliary, Special Broadcast, and Other Program 

Distributional Services” 

FCC Rules may be purchased from the Government Publishing Office. Current prices and purchasing information 

may be obtained from the GPO Bookstore Website at https://bookstore.gpo.gov/. An up-to-date electronic version 

of Title 47 of the CFR may be accessed at https://www.ecfr.gov/cgi-bin/textidx?tpl=/ecfrbrowse/Title47/47tab_02.tpl. 

Electronic Filing of Applications. Electronic filing of Schedule 303-S is mandatory. See

https://enterpriseefiling.fcc.gov/dataentry/login.html. Similarly, any amendment to a pending Schedule 303-S 

must be filed electronically. The amendment should contain the following information to identify the 

associated application: 

 (1) Applicant's name 

 (2) Facility ID# 

 (3) Call letters or specify "NEW" station 

 (4) Channel number 

 (5) Station location 

 (6) File number of application being amended (if known) 

 (7) Date of filing of application being amended (if file number is not known) 

Applicants should follow the procedures set forth in Parts 0, 1, 73, and 74 of the Commission's Rules. 

A copy of the completed application and all related documents shall be made available for inspection by the public 

in the station's public inspection file, pursuant to the requirements of 47 CFR § 73.3526(b). 

Applicants should provide all information requested by this application. No section may be omitted. If any 

portions of the application are not applicable, the applicant should so state. Defective or incomplete applications 

will be dismissed. Inadvertently accepted applications are also subject to dismissal. 
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In accordance with 47 CFR § 1.65, applicants have a continuing obligation to advise the Commission, through 

amendments, of any substantial and material changes in the information furnished in this application. This 

requirement continues until the FCC action on this application is no longer subject to reconsideration by the 

Commission or review by any court. 

This application requires applicants to certify compliance with many statutory and regulatory requirements. 

Detailed instructions and worksheets provide additional information regarding Commission rules and policies. 

These materials are designed to track the standards and criteria that the Commission applies to determine 

compliance and to increase the reliability of applicant certifications. They are not intended to be a substitute for 

familiarity with the Communications Act and the Commission's regulations, policies, and precedent. While 

applicants are required to review all application instructions, they are not required to complete or retain any 

documentation created or collected to complete the application. 

This application is presented primarily in a "Yes/No" certification format. Certain responses will require an 

explanatory attachment. Where an attachment is required, a yellow notice box will open with an appropriate 

notification, such as “Please upload the required information which includes an attachment explaining the 

circumstances.” The notification will include a hyperlink (in this example, the word “upload”). Clicking on the 

hyperlink will take you to the Attachments page. From the Attachments page you can designate an attachment 

type from the pull-down menu, select the appropriate file to upload (in .pdf, .doc, .txt, or .xls format), and upload 

the file to attach it to your application. 

Each certification constitutes a material representation. Applicants may only mark the "Yes" certification when 

they are certain that the response is correct. A "No" response is required if the applicant is requesting a waiver of a 

pertinent rule and/or policy, or where the applicant is uncertain that the application fully satisfies the pertinent rule 

and/or policy. Thus, a "No" response to any of the certification items will not cause the immediate dismissal of the 

application provided that an appropriate explanatory attachment is submitted. 

License Term. Except as specifically noted to the contrary in Schedule 303-S or these instructions, each 

certification covers the entire license term. However, if the station license was assigned or transferred during 

the subject license term pursuant to a “long-form” application on FCC Form 314 or 315 (or any successor 

application forms that the Commission releases), the renewal applicant’s certifications should cover only the 

period during which the renewal applicant held the station’s license. 

The applicant must electronically sign the application. The signature will consist of the electronic equivalent 

of the typed name of the individual submitting the application as the applicant or applicant’s authorized 

representative. Depending on the nature of the applicant, the application should be signed as follows: if a sole 

proprietorship, personally; if a partnership, by a general partner; if a corporation, by an officer; for an 

unincorporated association, by a member who is an officer; if a governmental entity, by such duly elected or 

appointed official as is competent under the laws of the particular jurisdiction. Counsel may sign the application 

for his or her client, but only in cases of the applicant's disability or absence from the United States. In such cases, 

counsel must separately set forth why the application is not signed by the client. In addition, as to any matter stated 

on the basis of belief instead of personal knowledge, counsel shall separately set forth the reasons for believing 

that such statements are true. See 47 CFR § 73.3513. The electronic signature will consist of the electronic 

equivalent of the typed name of the individual. See Report and Order in MM Docket No. 98-43, 13 FCC Rcd 

23056, 23064 (1998), ¶ 17. 

Parties to the Application. Except as specifically indicated below, as used in this application, the term "party to 

the application" includes any individual or entity whose ownership or positional interest in the applicant is 

attributable. An attributable interest is an ownership interest in or relation to an applicant or licensee which will 
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confer on its holder that degree of influence or control over the applicant or licensee sufficient to implicate the 

Commission's multiple ownership rules. Applicants should review the Commission's multiple ownership 

attribution policies and standards, which are set forth in the Notes to 47 CFR § 73.3555. 

Equity/Debt Plus Attribution Standard. Certain interests held by substantial investors in, or creditors of, the 

applicant may also be attributable and the investor reportable as a party to the application, if the interest falls 

within the Commission's equity/debt plus (EDP) attribution standard. Under the EDP standard, the interest held is 

attributable if, aggregating both equity and debt, it exceeds 33 percent of the total asset value (all equity plus all 

debt) of the applicant – a broadcast station licensee, cable television system, daily newspaper or other media outlet 

subject to the Commission’s broadcast multiple ownership or cross-ownership rules – and the interest holder also 

holds (1) an attributable interest in a media outlet in the same market, or (2) supplies over 15 percent of the total 

weekly broadcast programming hours of the station in which the interest is held. For example, the equity interest 

of an insulated limited partner in a limited partnership applicant would normally not be considered attributable, 

but, under the EDP standard, that interest would be attributable if the limited partner’s interest exceeded 33 percent 

of the applicant’s total asset value and the limited partner also held a 5 percent voting interest in a radio or 

television station licensee in the same market. 

The interest holder may, however, exceed the 33 percent threshold without triggering attribution where such 

investment would enable an eligible entity to acquire a broadcast station provided that: (1) the combined equity 

and debt of the interest holder in the eligible entity is less than 50 percent, or (2) the total debt of the interest holder 

in the eligible entity does not exceed 80 percent of the asset value of the station being acquired by the eligible 

entity and the interest holder does not hold any equity interest, option, or promise to acquire an equity interest in 

the eligible entity or any related entity. See Promoting Diversification of Ownership in the Broadcasting Services, 

23 FCC Rcd 5922, 5936, para. 31 (2008); 2014 Quadrennial Regulatory Review – Review of the Commission’s 

Broadcast Ownership Rules and Other Rules Adopted Pursuant to Section 202 of the Telecommunications Act of 

1996, Second Report and Order, 31 FCC Rcd 9864, 9976-84, paras. 271-86 (2016) (2014 Quadrennial Review 

Order). 

Eligible Entity. The Commission defines an “eligible entity” as any entity that qualifies as a small business 

under the Small Business Administration’s size standards for its industry grouping, as set forth in 13 CFR §§ 

121-201, at the time the transaction is approved by the FCC, and holds (1) 30 percent or more of the stock or 

partnership interests and more than 50 percent of the voting power of the corporation or partnership that will 

own the media outlet; or (2) 15 percent or more of the stock or partnership interests and more than 50 percent of 

the voting power of the corporation or partnership that will own the media outlet, provided that no other person 

or entity owns or controls more than 25 percent of the outstanding stock or partnership interests; or (3) more 

than 50 percent of the voting power of the corporation that will own the media outlet if such corporation is a 

publicly traded company. 

Additionally, "parties to the application" include the following with respect to each of the listed applicant entities: 

 INDIVIDUAL APPLICANT: The natural person seeking to hold in his or her own right the authorization 

specified in this application. 

 PARTNERSHIP APPLICANT: Each partner, including all limited partners. However, a limited partner 

in a limited partnership is not considered a party to the application if the limited partner is not materially involved, 

directly or indirectly, in the management or operation of the media-related activities of the partnership. Sufficient 

insulation of a limited partner for purposes of this certification would be assured if the limited partnership 

arrangement: 
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 (1) specifies that any exempt limited partner (if not a natural person, its directors, officers, partners, 

etc.) cannot act as an employee of the limited partnership if his or her functions, directly or indirectly, relate to the 

media enterprises of the company; 

 (2) bars any exempt limited partner from serving, in any material capacity, as an independent 

contractor or agent with respect to the partnership's media enterprises; 

 (3) restricts any exempted limited partner from communicating with the licensee or the general 

partner on matters pertaining to the day-to-day operations of its business; 

 (4) empowers the general partner to veto any admissions of additional general partners admitted by 

vote of the exempt limited partners; 

 (5) prohibits any exempt limited partner from voting on the removal of a general partner or limits this 

right to situations where the general partner is subject to bankruptcy proceedings, as described in Sections 402 (4)-

(5) of the Revised Uniform Limited Partnership Act, is adjudicated incompetent by a court of competent 

jurisdiction, or is removed for cause, as determined by an independent party; 

 (6) bars any exempt limited partner from performing any services to the limited partnership 

materially relating to its media activities, with the exception of making loans to, or acting as a surety for, the 

business; and 

 (7) states, in express terms, that any exempt limited partner is prohibited from becoming actively 

involved in the management or operation of the media businesses of the partnership. 

 

Notwithstanding conformance of the partnership agreement to these criteria, however, the requisite certification 

cannot be made if the limited partner’s interest is attributable under the Commission’s EDP attribution standard 

described above; or if the applicant has actual knowledge of a material involvement of a limited partner in the 

management or operation of the media-related businesses of the partnership. In the event that the applicant cannot 

certify as to the noninvolvement of a limited partner, the limited partner will be considered as a party to this 

application. 

 

 LIMITED LIABILITY COMPANY APPLICANT: The Commission treats an LLC as a limited 

partnership, each of whose members is considered to be a party to the application. However, where an LLC 

member is insulated in the manner specified above with respect to a limited partnership and where the relevant 

state statute authorizing the LLC permits an LLC member to insulate itself in accordance with the Commission's 

criteria, that LLC member is not considered a party to the application. In such a case, the applicant should certify 

"Yes" in response to the non-attributable interest question. 

 

 CORPORATE APPLICANT: Each officer, director and owner of stock accounting for 5 percent or more 

of the issued and outstanding voting stock of the applicant is considered a party to the applicant. Where the 5 

percent stock owner is itself a corporation, each of its stockholders, directors and "executive" officers (president, 

vice-president, secretary, treasurer or their equivalents) is considered a party to this application unless the applicant 

submits as an exhibit a statement establishing that an individual director or officer will not exercise authority or 

influence in areas that will affect the applicant or the station. In this statement, the applicant should identify the 

individual by name and title, describe the individual's duties and responsibilities, and explain the manner in which 

such individual is insulated from the corporate applicant and should not be attributed an interest in the corporate 

applicant or considered a party to this application. In addition, a person or entity holding an ownership interest in 

the corporate stockholder of the applicant is considered a party to this application only if that interest, when 

multiplied by the corporate stockholder's interest in the applicant, would account for 5 percent or more of the 
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issued and outstanding voting stock of the applicant. For example, where Corporation X owns stock accounting 

for 25 percent of the applicant's votes, only Corporation X shareholders holding 20 percent or more of the issued 

and outstanding voting stock of Corporation X have a 5 percent or more indirect interest in the applicant (.25 x .20 

= .05) and, therefore, are considered parties to this application. In applying the multiplier in this context, any 

entity holding more than 50 percent of its subsidiary will be considered a 100 percent owner. Where the 5 percent 

stock owner is a partnership, each general partner and any limited partner that is non-insulated, regardless of the 

partnership interest, is considered a party to the application. 

 

 Stock subject to stockholder cooperative voting agreements accounting for 50 percent or more of the votes 

in a corporate applicant will be treated as if held by a single entity and any stockholder holding 5 percent or more 

of the stock in that block is considered a party to this application. 

 An investment company, insurance company or trust department of a bank is not considered a party to this 

application, and an applicant may properly certify that such entity's interest is non-attributable, if its aggregated 

holding accounts for less than 20 percent of the outstanding votes in the applicant and if: 

 (1) such entity exercises no influence or control over the corporation, directly or indirectly; and 

 (2) such entity has no representatives among the officers and directors of the corporation. 

 ANY OTHER APPLICANT: Each executive officer, member of the governing board and owner or 

holder of 5 percent or more of the votes in the applicant is considered a party to the applicant. 

GENERAL INFORMATION 

Application Description: In the space provided, give a brief (255 characters or fewer) description of the 

application. This is to assist you in identifying this discrete application and will be displayed only in your LMS 

Application workspace. It will not be made a part of your application or be displayed to others. 

Attachments: Indicate by clicking “Yes” or “No” whether the application includes attachments other than 

required attachments. Required attachments are those that must be filed in response to application questions, 

and may only be required if certain answers are given. 

FEES, WAIVERS, AND EXEMPTIONS 

Fees: The Commission is statutorily required to collect charges for certain regulatory services to the public. 

Generally, applicants seeking to renew the license for a commercial AM, FM, TV, Class A TV, FM translator, TV 

translator or Low Power TV station are required to submit a fee with the filing of Schedule 303-S. Government 

entities, however, are exempt from this fee requirement. Exempt entities include possessions, states, cities, 

counties, towns, villages, municipal organizations, and political organizations or subparts thereof governed by 

elected or appointed officials exercising sovereign direction over communities or governmental programs. Also 

exempted from this fee are licensees of full-service noncommercial educational radio and TV broadcast stations, 

and Low Power FM stations, provided that the proposed facility will be operated noncommercially. (This 

includes licensees of noncommercial educational FM and full service TV broadcast stations seeking renewal of 

the licenses for their translator or low power TV stations, provided those stations operate on a noncommercial 

educational basis.) Low Power TV or TV Translator stations that rebroadcast the programming of a primary 

noncommercial educational station, but are not co-owned by the licensee of such a station, are required to file 

fees. Renewal applications that earlier obtained either a fee refund because of an NTIA facilities grant for the 

stations or a fee waiver because of demonstrated compliance with the eligibility and service requirements of 47 
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CFR § 73.503 or § 73.621, and that continue to operate those stations on a noncommercial basis, are similarly 

exempted from this fee. See 47 CFR § 1.1116. 

When filing a fee-exempt application, an applicant must select “Yes” to the question asking if the applicant is 

exempt from FCC application fees. If selecting “Yes,” explain in the text box the reason for the fee exemption. 

Select “Yes” or “No” to the question asking whether the applicant is exempt from payment of FCC annual 

regulatory fees, as appropriate. 

The Application Fee Filing Guide for Media Bureau, obtainable at https://www.fcc.gov/document/media-bureauapplication-fee-filing-guide-1, contains a list of the required fees and Fee Type Codes needed to complete this 

application. The Commission's fee collection program utilizes a U.S. Treasury lockbox bank for maximum 

efficiency of collection and processing. 

Payment of any required fee must be made by check, bank draft, money order, credit card, or wire transfer. If 

payment is made by check, bank draft, money order, or wire transfer, the remittance must be denominated in U.S. 

dollars, drawn upon a U.S. financial institution, and made payable to the Federal Communications Commission. 

No postdated, altered, or third-party checks will be accepted. DO NOT SEND CASH. Additionally, checks 

dated six months or older will not be accepted. 

FCC Form 159, dated February 2003, must be submitted with any application subject to a fee received at the 

Commission. All previous editions of this form are obsolete. Failure to use this version of the form or to submit 

all requested information may delay the processing of the application.

For further information regarding the applicability of a fee, the fee code, the amount of the fee, or the payment of 

the fee, applicants should consult the "Application Fee Filing Guide for Media Bureau," which may be accessed at 

https://www.fcc.gov/document/media-bureau-application-fee-filing-guide-1 . 

Waivers: If any waiver of the Commission’s rules is requested at any part of the application, select “Yes” to this 

question. If selecting “Yes,” complete the box that opens by stating the number of rule sections for which you 

request waiver. You must then submit an attachment setting forth the waiver(s) sought and the legal justification 

for waiver, by clicking the “upload” hyperlink in the notification box that opens, and selecting and uploading the 

explanatory attachment. 

APPLICANT INFORMATION 

Applicant Name and Type: Select the Applicant Type (e.g., Individual, Unincorporated Association, Trust, 

Government Entity, etc.) from the drop-down menu. In the box below the drop-down menu, enter the exact 

legal name of the applicant or applicant entity. The name of the applicant must be stated exactly in this item. If 

the applicant is a corporation, the applicant should list the exact corporate name; if a partnership, the name under 

which the partnership does business; if an unincorporated association, the name of an executive officer, his/her 

office, and the name of the association; and, if an individual applicant, the person's full legal name. 

Applicant Contact Information: Enter the applicant’s postal address, telephone number, and Email address in 

the spaces provided. Select the applicant’s Country and State from the drop-down menus. 

CONTACT REPRESENTATIVES 

If the applicant is represented by a third party (such as, for example, legal counsel), that person's name, firm or 

company, and telephone/Email address may be specified as the Contact Representative. Otherwise, a party to the 

application or another person associated with the applicant may be designated as Contact Representative. This is 
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the person with whom the Commission will communicate regarding the application. At least one Contact 

Representative must be designated. To add a Contact Representative, click the “Add Contact” button at the top 

right of the screen.

Contact Type: Select the button that best describes the contact type, whether Legal Representative (e.g., 

attorney), Technical Representative (e.g., engineer), or Other. 

Contact Name: Enter the name of the Contact Representative. If the Contact Representative is the same as the 

applicant, you can pre-fill the Contact Name and Contact Information fields with the applicant information 

previously provided, by clicking the “Pre-fill From Applicant Details” button. 

Contact Information: Enter the Contact Representative’s postal address, telephone number, and Email address 

in the spaces provided. If the representative works for a firm or company, enter that name in the Company Name 

space. Select the Contact Representative’s Country and State from the drop-down menus. 

If you have more than one Contact Representative, click the “Save & Add Another” button at the bottom of the 

screen and complete for the next Contact Representative. When you are finished, click “Save & Continue.” You 

will be displayed a summary screen listing your Contact Representative(s). From this screen you may delete a 

Contact Representative or edit the information provided. If you have no further Contact Representative 

information to add or edit, click “Save & Continue.” 

RENEWAL CERTIFICATIONS 

Character Issues/Adverse Findings: The Character Issues question requires the applicant to certify that neither 

it nor any party to the application has had any interest in or connection with an application that was or is the 

subject of unresolved character issues. An applicant must disclose in response to the Adverse Findings question 

whether the applicant or any party to the application has been the subject of a final adverse finding with respect to 

certain relevant non-broadcast matters. The Commission's character policies and litigation reporting requirements 

for broadcast applicants focus on misconduct which violates the Communications Act or a Commission rule or 

policy and on certain specified non-FCC misconduct. In responding to these questions, applicants should review 

the Commission's character qualifications policies, which are fully set forth in Character Qualifications, 102 FCC 

2d 1179 (1985), reconsideration denied, 1 FCC Rcd 421 (1986), as modified, 5 FCC Rcd 3252 (1990) and 7 FCC 

Rcd 6564 (1992). 

Note: As used in these questions, the term "party to the application" includes any individual or entity whose 

ownership or positional interest in the applicant is attributable. An attributable interest is an ownership interest in 

or relation to an applicant or licensee which will confer on its holder that degree of influence or control over the 

applicant or licensee sufficient to implicate the Commission's multiple ownership rules. See Report and Order in 

MM Docket No. 83-46, 97 FCC 2d 997 (1984), reconsideration granted in part, 58 RR 2d 604 (1985), further 

modified on reconsideration, 61 RR 2d 739 (1986). 

Character Issues: Where the response to either of the Character Issues questions is "No," the applicant must 

submit an attachment that includes an identification of the party having had the interest, the call letters and location 

of the station or file number of the application or docket, and a description of the nature of the interest or 

connection, including relevant dates. The applicant should also fully explain why the unresolved character issue is 

not an impediment to a grant of this application. 

Adverse Findings: In responding to the Adverse Findings question, the applicant should consider any relevant 

adverse finding. Where that adverse finding was fully disclosed to the Commission in an application filed on 
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behalf of this station or in another broadcast station application and the Commission, by specific ruling or by 

subsequent grant of the application, found the adverse finding not to be disqualifying, it need not be reported again 

and the applicant may respond "Yes" to this item. However, an adverse finding that has not been reported to the 

Commission and considered in connection with a prior application would require a "No" response. 

Where the response to the Adverse Findings question is "No," the applicant must provide in an attachment a full 

disclosure of the persons and matters involved, including an identification of the court or administrative body and 

the proceeding (by dates and file numbers), and the disposition of the litigation. Where the requisite information 

has been earlier disclosed in connection with another pending application, or as required by 47 CFR § 1.65(c), the 

applicant need only provide an identification of that previous submission by reference to the file number in the 

case of an application, the call letters of the station regarding which the application or Section 1.65 information 

was filed, and the date of filing. The applicant should also fully explain why the adverse finding is not an 

impediment to a grant of this application. 

FCC Violations During the Preceding License Term. Section 309(k) of the Communications Act of 1934, as 

amended, 47 U.S.C. Section 309(k), states that the Commission shall grant a license renewal application if it 

finds, with respect to that station, during the preceding license term, that: (1) the station has served the public 

interest, convenience, and necessity; (2) there have been no serious violations by the licensee of the 

Communications Act or the Commission’s Rules; and (3) there have been no other violations of the Act or the 

Commission’s Rules, which, taken together, would constitute a pattern of abuse. This question asks the 

applicant to certify that, with respect to the station for which a renewal application is being submitted, there 

were no violations of the Communications Act or of the Commission’s Rules. If the renewal applicant has 

violated the Act or the Rules, it must respond “No” and submit an explanatory exhibit detailing the number and 

nature of the violations and any adjudication by the Commission (Notice of Violation, Forfeiture Order, etc.). 

For purposes of this license renewal application only, an applicant is required to disclose only violations of the 

Communications Act of 1934, as amended, or the Rules of the Commission that occurred at the subject station 

during the license term, as preliminarily or finally determined by the Commission, staff, or a court of competent 

jurisdiction. This includes Notices of Violation, Notices of Apparent Liability, Forfeiture Orders, and other 

specific findings of Act or Rule violations. It does not include “violations” identified by the station itself or in 

conjunction with the station’s participation in an Alternative Broadcast Inspection Program. In responding to 

this item, licensees should not submit any information concerning self-discovered or other “violations” that 

have not been identified by the Commission, staff, or court. Licensees are advised that the Commission may 

also consider other violations by the station that come to its attention in determining whether to grant this 

license renewal application. 

Alien Ownership and Control. All applications must comply with Section 310 of the Communications Act, as 

amended. Specifically, Section 310 proscribes issuance of a construction permit or station license to an alien, a 

representative of an alien, a foreign government or the representative thereof, or a corporation organized under the 

laws of a foreign government. This proscription also applies with respect to any entity of which more than 20 

percent of the capital stock is owned or voted by aliens, their representatives, a foreign government or its 

representative, or an entity organized under the laws of a foreign country. The Commission may also deny a 

construction permit or station license to a licensee directly or indirectly controlled by another entity of which more 

than 25 percent of the capital stock is owned or voted by aliens, their representatives, a foreign government or its 

representative, or another entity organized under the laws of a foreign country. Any such applicant seeking 

Commission consent to exceed this 25 percent benchmark in Section 310(b)(4) of the Act must do so by filing a 

petition for declaratory ruling pursuant to 47 CFR §§ 1.5000-04. For more detailed information on identifying and 

calculating foreign interests, see Review of Foreign Ownership Policies for Broadcast, Common Carrier and 

Aeronautical Radio Licensees Under Section 310(b)(4) of the Communications Act of 1934, as Amended, 31 

FCC Rcd 11272, paras. 44-77 (2016). 
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Non-Discriminatory Advertising Sales Agreements. Applicants for renewal of commercial stations are 

required to complete the certification that their advertising agreements do not discriminate on the basis of race 

or ethnicity and that all such agreements contain nondiscrimination clauses. See Promoting Diversification of 

Ownership in the Broadcasting Services, 23 FCC Rcd 5922, 5941-42, para. 50 (2008); see also Third Erratum, 

75 FR 27199 (May 14, 2010). Prohibited discriminatory practices include “no urban/no Spanish” dictates. 

Broadcasters must have a reasonable basis for making this certification. If the response to Item 7 is “No,” the 

applicant must attach an exhibit explaining the persons and matters involved and why the matter is not an 

impediment to a grant of this application. Applicants for renewal of noncommercial stations should answer “not 

applicable.” 

AM/FM/LPFM CERTIFICATIONS: 

Biennial Ownership Report. This question asks the renewal applicant to certify that it has filed with the 

Commission the biennial ownership reports required by 47 CFR § 73.3615. Each licensee of a commercial AM, 

FM, or TV broadcast station shall file an Ownership Report on FCC Form 323 (commercial) every two years. 

The Ownership Report must be filed by December 1 in all odd-numbered years. See 47 CFR § 73.3615(a). 

Each licensee of a noncommercial educational AM, FM, or TV broadcast station shall file an Ownership Report 

on FCC Form 323-E (noncommercial) every two years. The Ownership Report must be filed by December 1 in 

all odd-numbered years. See 47 CFR § 73.3615(d). 

EEO Program. Each licensee of an AM, FM and TV broadcast station is required to afford equal employment 

opportunity to all qualified persons and to refrain from discrimination in employment and related benefits on the 

basis of race, color, religion, national origin or sex. See 47 CFR § 73.2080. All AM, FM, and TV broadcast 

stations must file Form 2100, Schedule 396 – Broadcast EEO Program Report, with their license renewal 

applications. Pursuant to these rule requirements, a license renewal applicant who employs five or more fulltime employees in its station employment unit must maintain an EEO recruitment program in addition to 

ensuring that equal employment opportunity is afforded to all full-time applicants and employees without 

discrimination. An "employment unit" is a station, or a group of commonly owned stations in the same market 

that share at least one employee. If an applicant employs fewer than five full-time employees in its station 

employment unit as of the date of filing Schedule 396, it does not need to maintain an EEO recruitment program 

but still must refrain from discrimination in its hiring and employment practices. An applicant employing fewer 

than five full-time employees in its station employment unit need only respond “Yes” to the station employment 

unit question under “Full-time Employees,” complete the Certification of Schedule 396, and must then file 

Schedule 396 with the renewal application. 

The licensee must first certify that the Broadcast EEO Program Report (Form 2100, Schedule 396) has been 

filed with the Commission, pursuant to 47 CFR § 73.2080(f)(1). Schedule 396 must be filed before Schedule 

303-S; when Schedule 396 is filed, you will receive a File Number for that Schedule from LMS. When 

certifying “Yes” to this item, enter the Schedule 396 File Number in the text box that appears below the item. 

Additionally, for employment units employing five or more full-time employees, each licensee must place in the 

station’s public inspection file annually, and post on the station’s website, a Broadcast EEO Public File Report 

containing (1) a list of all full-time vacancies filled during the preceding year, identified by job title; (2) for each 

such vacancy, the recruitment source(s) utilized to fill the vacancy, (including, if applicable, organizations 

entitled to notification pursuant to Section 73.2080 (c)(1)(ii), which should be separately identified), identified 

by name, address, contact person and telephone number; (3) the recruitment source that referred the hiree for 

each full-time vacancy during the preceding year; (4) data reflecting the total number of persons interviewed for 

full-time vacancies during the preceding year and the total number of interviewees referred by each recruitment 

source utilized in connection with such vacancies; and (5) a list and brief description of initiatives undertaken 
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pursuant to Section 73.2080(c)(2) during the preceding year. Certify that the Broadcast EEO Public File Report 

has been posted on the station’s Website by selecting “Yes” to this item. 

Online Public Inspection File. Commercial and noncommercial educational AM and FM licensees must 

upload certain documents pertaining to each station in an online public inspection file hosted by the FCC at 

https://publicfiles.fcc.gov. The documents to be maintained generally include applications for a construction 

permit and for license renewal, assignment or transfer of control; ownership and employment reports; quarterly 

lists of the community issues most significantly addressed by the station’s programming during the preceding 

three months; and the station’s political file as specified in 47 CFR § 73.1943. A complete listing of the required 

documents and their mandatory retention periods is set forth in 47 CFR §§ 73.3526 and 73.3527. Applicants 

that have not so maintained their file should provide an exhibit identifying the items that are missing/late filed, 

and list the steps taken to reconstruct missing information, as well as the procedures adopted to prevent such 

problems in the future. 

Adherence to Minimum Operating Schedule. This question requires the applicant to certify that the station 

has not been silent, or operating for less than its prescribed minimum operating hours, for any period of more 

than 30 days. Commercial broadcast stations are required to operate not less than the minimum operating hours 

set forth in 47 CFR § 73.1740. Noncommercial educational FM stations are required to operate not less than the 

minimum operating hours set forth in 47 CFR § 73.561. Low Power FM stations are required to operate not 

less than the minimum operating hours set forth in 47 CFR § 73.850. Noncommercial educational AM stations 

are not required to operate on a regular schedule and no minimum hours of operation are specified, but the 

hours of actual operation during a license period shall be taken into consideration in the renewal of an NCE AM 

licensee. See 47 CFR § 73.1745(b). 

In the event that causes beyond the control of a licensee make it impossible to adhere to its minimum operating 

schedule or to continue operating, the station may limit or discontinue operation for a period of not more than 

30 days without further authority from the FCC. Notification must be sent to the FCC no later than the 10th day 

of limited or discontinued operation. See 47 CFR §§ 73.1740(a)(4), 73.561(d). Special Temporary Authority 

must be requested for periods of silence, or of operation not in accordance with the station license, that are not 

corrected within 30 days. See https://www.fcc.gov/media/radio/special-temporary-authority. 

An applicant whose station was silent or broadcasting for less than the prescribed minimum hours for any 

period of more than 30 days in the preceding license term must submit an exhibit specifying the exact dates on 

which the station was silent or operating at less than its prescribed minimum operating schedule. 

Note: “Broadcasting” means “the dissemination of radio communications intended to be received by the 

public.” 47 U.S.C. § 153(6). Accordingly, the transmission of “test signals” does not count toward a station’s 

minimum operating hours. See A-O Broadcasting Corp., 23 FCC Rcd 603, 609 (2008) (finding that test signals, 

even if audible to the public, are not broadcast signals). 

Silent Station. The Commission will not renew the license of a station that is not broadcasting. See Birach 

Broadcasting Corporation, 16 FCC Rcd 5015 (2001); 47 U.S.C. § 153(6). Accordingly, this item requires the 

applicant to certify that its commercial AM or FM broadcast station is currently transmitting signals intended to 

be received by the public. An application may not answer “Yes” to this question if the station is transmitting 

only “test signals.” 

Note: (i) Noncommercial educational FM stations, while authorized for limited-time operation, are required to 

operate at least 36 hours per week, consisting of at least 5 hours of operation on at least 6 days of the week. 

Stations licensed to educational institutions are not required to operate on Saturday or Sunday or observe the 

minimum operating requirements during those days when school is not in session. See 47 CFR § 73.561(a). 
11

Licensees of noncommercial educational FM applicants adhering to these requirements may answer “Yes” to 

this question whether or not the station is on the air on the particular day on which the license renewal 

application is submitted electronically. 

(ii) A noncommercial AM or TV broadcast station does not have specified minimum hours of operation, but the 

hours of actual operation in a license period shall be taken into account in the analysis of its license renewal 

application. See 47 CFR § 73.1740 (b). 

(iii) Any other type of AM or FM broadcast station is expected to provide continuous service except where 

causes beyond its control warrant interruption. Where causes beyond the control of the licensee make it 

impossible to continue operation, the station may discontinue operation for a period of 30 days without further 

authority from the FCC. However, notification of the discontinuance must be sent to the FCC in Washington, 

D.C. no later than 10 days after the discontinued operation. Failure to operate for a period of 30 days or more 

shall be taken into consideration in the renewal of the station’s license. See 47 U.S.C. § 309(k); Radioactive, 

LLC, 32 FCC Rcd 6392 (2017). 

Discontinued Operation. Section 312(g) of the Communications Act of 1934, 47 U.S.C. § 312(g), states that if 

a broadcast station fails to transmit broadcast signals for any consecutive 12-month period, then the station 

license expires automatically, by operation of law, at the end of that 12-month period. The Commission has the 

discretion to reinstate a broadcast license that has expired pursuant to Section 312(g) to promote “equity and 

fairness,” but has exercised that statutory discretion only when the failure to timely resume broadcasts was for a 

compelling reason beyond the licensee’s control. A station that does cease broadcasting for nearly 12 months 

may not preserve its license by recommencing operation with unauthorized facilities. See Eagle Broadcasting 

Group, Ltd. v. FCC, 563 F.3d 543 (D.C. Cir. 2009). Accordingly, this item requires the licensee to certify that 

the station was not silent for any consecutive 12-month period during the preceding license term. By answering 

“Yes” to this question, the applicant certifies that (1) it was not silent for any consecutive 12-month period 

during the preceding license term; and (2) if the station was silent for any period of time during the preceding 

license term, it resumed broadcasting with authorized facilities before 12 months from the date on which that 

station went silent. If the applicant cannot make this certification, it should answer the question “No” and 

provide an explanatory exhibit. 

Environmental Effects. This question requires the applicant to state whether grant of renewal of license for the 

specified facility would be an action that may have a significant environmental effect under 47 CFR § 1.1306. 

The National Environmental Policy Act of 1969 requires all federal agencies to ensure that the human 

environment is given consideration in all agency decision-making. Since January 1, 1986, applications for new 

broadcast stations, modifications of existing stations, and license renewals must contain either an environmental 

assessment that will serve as the basis for further Commission review and action, or an indication that operation of 

the station will not have a significant environmental impact. See 47 CFR § 1.1307(b). In this regard, applicants 

are required to look at eight environmental factors. These factors are relatively self-explanatory, except for the 

evaluation of whether the station adequately protects the public and workers from potentially harmful 

radiofrequency (RF) electromagnetic fields. In addition, if the applicant proposes a new tower that will exceed 

450 feet in height, it must submit an Environmental Assessment as described below. Worksheet # XX includes 

both a general environmental evaluation and specific sub-sections for RF exposure analysis. Click the 

“Worksheets” link in the application to access this worksheet. These worksheets are designed to facilitate and 

substantiate the certification called for in Schedule 302. Their use is voluntary, but strongly encouraged. 

RF Exposure Requirements. In 1996, the Commission adopted new guidelines and procedures for evaluating 

environmental effects of RF emissions. All applications subject to environmental processing filed on or after 
12

October 15, 1997, must demonstrate compliance with the new requirements. These new guidelines incorporate 

two tiers of exposure limits: 

 General population/uncontrolled exposure limits apply to situations in which the general public may be 

exposed or in which persons who are exposed as a consequence of their employment may not be made 

fully aware of the potential for exposure or cannot exercise control over their exposure. Members of the 

general public are always considered under this category when exposure is not employment-related. 

 Occupational/controlled exposure limits apply to human exposure to RF fields when persons are exposed 

as a consequence of their employment and in which those persons who are exposed have been made fully 

aware of the potential for exposure and can exercise control over their exposure. These limits also apply 

where exposure is of a transient nature as a result of incidental passage through a location where exposure 

levels may be above the general populations/uncontrolled limits as long as the exposed person has been 

made fully aware of the potential for exposure and can exercise control over his or her exposure by 

leaving the area or some other appropriate means. 

The new guidelines are explained in more detail in OET Bulletin 65, entitled Evaluating Compliance with FCC 

Guidelines for Human Exposure to Radiofrequency Electromagnetic Fields, Edition 97-01, released August, 1997, 

and Supplement A: Additional Information for Radio and Television Broadcast Stations (referred to here as "OET 

Bulletin 65" and "Supplement A," respectively). Both OET Bulletin 65 and Supplement A can be viewed and/or 

downloaded from the FCC Internet site at https://www.fcc.gov/general/radio-frequency-safety-0. Additional 

information may be obtained from the RF Safety Group at rfsafety@fcc.gov or (202) 418-2464 or from the FCC 

Call Center at 1-888-CALL FCC (225-5322). 

Worksheets ## XX and XX will enable certain categories of stations to determine whether or the proposed facility 

will have a significant environmental impact as defined by Section 1.1307. All applicants can use the General 

Environmental worksheet. Some, but not all, stations will be able to use the RF worksheet. Generally, the RF 

worksheet can only be used in the following situations: (1) single use tower; (2) single tower with several FM/FM 

translators; or (3) a multiple tower AM array with no other user co-located within the array. Additionally, in order 

to be eligible to use the RF worksheet, access to AM stations must be restricted by a fence or other barrier that will 

preclude casual or inadvertent access to the site and warning signs must be posted at appropriate intervals 

describing the potential for RF exposure. Click the “Worksheets” link in the application for more detail on 

eligibility. 

 

If after using the worksheets the applicant finds that levels will exceed the RF guidelines, levels may still be 

acceptable based on a more detailed evaluation of a number of variables (e.g., antenna radiation patterns or 

measurement data). In that case, the applicant must submit an attachment to the application that explains why the 

proposed facility does not exceed the RF radiation exposure guidelines at locations where humans are likely to be 

present, or describing measures or circumstances which will prevent or discourage humans from entering those 

areas where the RF exposure exceeds the guidelines (e.g., fencing or remote location). The guidelines are 

explained in more detail in OET Bulletin 65. 

If the applicant is not eligible to use the worksheets, it is not an indication that the proposed facility will cause 

excessive exposure. Generally, applicants that are not able to use the worksheets will need to utilize more 

complex calculations or measurements to demonstrate compliance. For this reason, applicants who are not eligible 

to use the Commission’s Web worksheets should consider seeking the assistance of a qualified consulting engineer 

in determining whether the proposed facility will meet the RF exposure guidelines. 
13

Should the applicant be unable to conclude that its proposal will have no significant impact on the quality of the 

human environment, or if it proposes a new tower exceeding 450 feet in height, it must submit an Environmental 

Assessment containing the following information: 

 1. A description of the facilities as well as supporting structures and appurtenances, and a description of the 

site as well as the surrounding area and uses. If high-intensity white lighting is proposed or utilized within 

a residential area, the EA must also address the impact of this lighting upon the residents. 

 2. A statement as to the zoning classification of the site, and communications with, or proceedings before 

and determinations (if any) by zoning, planning, environmental and other local, state, or federal authorities 

on matters relating to environmental effects. 

 3. A statement as to whether construction of the facilities has been a source of controversy on environmental 

grounds in the local community. 

 4. A discussion of environmental and other considerations that led to the selection of the particular site and, 

if relevant, the particular facility; the nature and extent of any unavoidable adverse environmental effects; 

and any alternative sites or facilities that have been or reasonably might be considered. 

 5. If relevant, a statement why the site cannot meet the FCC guidelines for RF exposure with respect to the 

public and workers. 

Note: Even if the applicant concludes that human RF electromagnetic exposure is consistent with the 

Commission's guidelines, each site user must also meet requirements with respect to "on-tower" or other exposure 

by workers at the site (including RF exposure on one tower caused by sources on another tower or towers). These 

requirements include, but are not limited to, the reduction or cessation of transmitter power when persons have 

access to the site, tower, or antenna. Such procedures must be coordinated among all tower users. See OET 

Bulletin 65 for details. See also 47 CFR § 1.1306. 

OTHER BROADCAST STATIONS 

Other Broadcast Stations. The renewal application permits the joint renewal of license for an FM translator 

station or TV translator station and its co-owned AM, FM, TV or LPTV station. This question asks if the 

renewal application includes one or more FM translator station(s), or TV translator station(s), or LPTV 

station(s), in addition to the station(s) listed at the top of this section. Select “Yes” or “No” as appropriate. 

If you select “Yes” to this question, a list will open labeled “Available Stations.” This list will include all FM 

translator stations linked to the FRN used for this application. Click on “Call Sign,” “Facility ID,” 

“Frequency,” “Service,” “City,” or “State” at the top of the list to sort the list by those attributes (clicking a 

second time will toggle between sorting in ascending or descending order). 

Select the FM translator station(s) that you wish to renew in this application by clicking on those station(s) in 

the list. To select all stations, click the “All” box at the top of the list. The station(s) selected will appear in the 

list to the right of the “Available Stations” list, labeled “Selected Stations,” which may be sorted by call sign. 

To remove any station(s) erroneously added to the “Selected Stations” list, click on the station(s) you wish to 

remove and then click the “Remove” button at the top of the list. 

When the “Selected Stations” list includes all FM translator stations that you wish to renew in this application, 

click the “Save & Continue” button at the bottom of the screen to continue to the FM Translator Certifications 

section. 
14

FM TRANSLATOR CERTIFICATIONS

Silent Station, Rebroadcast Status, Rebroadcast Consent, Licensee Compliance, and Environmental 

Effects questions are displayed for each FM Translator included in this Renewal Application. 

 

Section 325(a) of the Communications Act of 1934, as amended, prohibits the rebroadcast of the programs of a 

broadcast station without the express authority of the originating station. Where the renewal applicant is not the 

licensee of the originating station, written authority must be obtained prior to any rebroadcasting. Also, where 

the licensee has changed the station being rebroadcast, written notification must be made to the Commission in 

accordance with 47 CFR § 74.784 or § 74.1251. 

Silent Station. This question requires a licensee to certify that the FM translator station is on the air. A FM 

translator station is expected to provide a dependable service, to the extent that such service is within its control 

and to avoid unwarranted interruptions to the service provided. See 47 CFR §§ 74.763 and 74.1263. The 

licensee of a FM translator must notify the Commission of its intent to discontinue operations for 30 or more 

consecutive days. Notification must be made within 10 days of the time the station first discontinues operation 

and Commission approval must be obtained for such discontinued operation to continue beyond the 30 days. 

Rebroadcast Status. FM translator licensees that rebroadcast a primary station should respond “Yes” and 

identify the station(s) being rebroadcast. Identify the station being rebroadcast by entering its Facility ID 

Number in the “Facility ID:” field that opens on selecting the “Yes” radio button, and then by clicking the “Add 

Station” button. This will populate the table below with the station information. Radio Facility ID Numbers can 

be obtained at the FCC's Licensing and Management System (LMS) Search Page at 

https://enterpriseefiling.fcc.gov/dataentry/public/tv/publicFacilitySearch.html or by calling (202) 418-2700. 

Rebroadcast Consent. This question requires an FM translator licensee to certify that it has obtained written 

authority from the licensee of the primary station (identified above) for retransmitting the primary station’s 

programming. When the primary station is co-owned, the applicant also should answer “Yes” to this question. 

Licensee Compliance. The provisions of 47 CFR § 74.1232(d) provide that an authorization for an “other 

area” FM translator (i.e., FM translator station whose coverage contour extends beyond the protected contour of 

the commercial FM primary station) will not be granted to the licensee or permittee of the primary commercial 

FM radio broadcast station, or to any person or entity having an interest or connection with the primary 

commercial FM radio broadcast station. For the purposes of this rule, interested and connected parties extend to 

group owners, corporate parents, shareholders, officers, directors, employees, general and limited partners, 

family members and business associates. 

The Commission adopted rules in MB Docket No. 07-172 that allow AM stations to use FM translator stations 

to rebroadcast the AM signal locally, retransmitting their AM programming as a fill-in service. The crossservice translating rules limit FM translators to providing fill-in service only, specifically within the primary 

AM station’s authorized service area. See Amendment of Service and Eligibility Rules for FM Broadcast 

Translator Stations, 24 FCC 2d 9642 (2009), as modified by Revitalization of the AM Radio Service, 30 FCC 

Rcd 12145, 12150-54 (2015) and 32 FCC Rcd 1724 (2017). The rules limit cross-service translators to 

providing fill-in service within an AM station’s authorized service area. Specifically, the provisions of 47 CFR 

§§ 74.1232(d) and 74.1201(g) provide that the entire 60 dBμ contour of an FM translator rebroadcasting an AM 

radio broadcast station as its primary station must be contained within the greater of the 2 mV/m daytime 

contour of the AM primary station, and a 25-mile (40 km) radius centered at the AM station’s transmitter site. 

The provisions of 47 CFR § 74.1232(e) provide that an authorization for an “other area” FM translator station 

(i.e., FM translator whose coverage contour extends beyond the protected contour of the commercial primary 
15

station) shall not receive any support, before, during, or after construction, either directly or indirectly, from the 

commercial primary FM radio broadcast station, or from any person or entity having an interest or connection 

with the primary FM station. For the purposes of this rule, interested and connected parties extend to group 

owners, corporate parents, shareholders, officers, directors, employees, general and limited partners, family 

members, business associates, and advertisers. Since the primary station financial support and technical 

assistance prohibition of Section 74.1232(e) does not apply to “fill-in” FM translators, applicants proposing to 

rebroadcast the signal of an AM primary station should mark “N/A” to this question. 

Environmental Effects. This question requires that the applicant certify that the FM translator station complies 

with the Commission’s maximum permissible radiofrequency electromagnetic exposure limits for controlled 

and uncontrolled environments. In the event there has been no material change in a translator’s RF environment 

since the station last received a grant of a license application or a license renewal application, the licensee may 

certify its compliance with RF exposure limits based on the information submitted with such application. In the 

event that there has been a material change in the translator’s RF environment since such application was 

granted, the licensee should follow the instructions below. 

Note: Licensees are reminded that the Commission retains the authority to revoke any station or translator 

station license for a licensee’s failure to satisfy the requirements of the National Environmental Policy Act, the 

National Historic Preservation Act, the Endangered Species Act, or other environmental statute, regulation, or 

directive at the time it sought authorization for the original construction or modification of its broadcast 

facilities. 47 U.S.C. § 312(a)(2) (authorizing the revocation of a station license “because of conditions coming 

to the attention of the Commission which would warrant it in refusing to grant a license or permit on an original 

application . . .”). See also FCC Form 2100, Schedule 301 Instructions, “Environmental Effects” section. 

The National Environmental Policy Act of 1969 requires all federal agencies to ensure that the human 

environment is given consideration in all agency decision-making. Since January 1, 1986, applications for new 

broadcast stations, modifications of existing stations, and license renewals must contain either an environmental 

assessment that will serve as the basis for further Commission review and action, or an indication that operation of 

the station will not have a significant environmental impact. See 47 CFR § 1.1307(b). In this regard, applicants 

are required to look at eight environmental factors. These factors are relatively self-explanatory, except for the 

evaluation of whether the station adequately protects the public and workers from potentially harmful 

radiofrequency (RF) electromagnetic fields. In addition, if the applicant proposes a new tower that will exceed 

450 feet in height, it must submit an Environmental Assessment as described below. Worksheet # XX includes 

both a general environmental evaluation and specific sub-sections for RF exposure analysis. Click the 

“Worksheets” link in the application to access this worksheet. These worksheets are designed to facilitate and 

substantiate the certification called for in Schedule 302. Their use is voluntary, but strongly encouraged. 

RF Exposure Requirements. In 1996, the Commission adopted new guidelines and procedures for evaluating 

environmental effects of RF emissions. All applications subject to environmental processing filed on or after 

October 15, 1997, must demonstrate compliance with the new requirements. These new guidelines incorporate 

two tiers of exposure limits: 

 General population/uncontrolled exposure limits apply to situations in which the general public may be 

exposed or in which persons who are exposed as a consequence of their employment may not be made 

fully aware of the potential for exposure or cannot exercise control over their exposure. Members of the 

general public are always considered under this category when exposure is not employment-related. 

 Occupational/controlled exposure limits apply to human exposure to RF fields when persons are exposed 

as a consequence of their employment and in which those persons who are exposed have been made fully 

aware of the potential for exposure and can exercise control over their exposure. These limits also apply 
16

where exposure is of a transient nature as a result of incidental passage through a location where exposure 

levels may be above the general populations/uncontrolled limits as long as the exposed person has been 

made fully aware of the potential for exposure and can exercise control over his or her exposure by 

leaving the area or some other appropriate means. 

The new guidelines are explained in more detail in OET Bulletin 65, entitled Evaluating Compliance with FCC 

Guidelines for Human Exposure to Radiofrequency Electromagnetic Fields, Edition 97-01, released August, 1997, 

and Supplement A: Additional Information for Radio and Television Broadcast Stations (referred to here as "OET 

Bulletin 65" and "Supplement A," respectively). Both OET Bulletin 65 and Supplement A can be viewed and/or 

downloaded from the FCC Internet site at https://www.fcc.gov/general/radio-frequency-safety-0. Additional 

information may be obtained from the RF Safety Group at rfsafety@fcc.gov or (202) 418-2464 or from the FCC 

Call Center at 1-888-CALL FCC (225-5322). 

Worksheets ## XX and XX will enable certain categories of stations to determine whether or the proposed facility 

will have a significant environmental impact as defined by Section 1.1307. All applicants can use the General 

Environmental worksheet. Some, but not all, stations will be able to use the RF worksheet. Generally, the RF 

worksheet can only be used in the following situations: (1) single use tower; (2) single tower with several FM/FM 

translators; or (3) a multiple tower AM array with no other user co-located within the array. Additionally, in order 

to be eligible to use the RF worksheet, access to AM stations must be restricted by a fence or other barrier that will 

preclude casual or inadvertent access to the site and warning signs must be posted at appropriate intervals 

describing the potential for RF exposure. Click the “Worksheets” link in the application for more detail on 

eligibility. 

 

If after using the worksheets the applicant finds that levels will exceed the RF guidelines, levels may still be 

acceptable based on a more detailed evaluation of a number of variables (e.g., antenna radiation patterns or 

measurement data). In that case, the applicant must submit an attachment to the application that explains why the 

proposed facility does not exceed the RF radiation exposure guidelines at locations where humans are likely to be 

present, or describing measures or circumstances which will prevent or discourage humans from entering those 

areas where the RF exposure exceeds the guidelines (e.g., fencing or remote location). The guidelines are 

explained in more detail in OET Bulletin 65. 

If the applicant is not eligible to use the worksheets, it is not an indication that the proposed facility will cause 

excessive exposure. Generally, applicants that are not able to use the worksheets will need to utilize more 

complex calculations or measurements to demonstrate compliance. For this reason, applicants who are not eligible 

to use the Commission’s Web worksheets should consider seeking the assistance of a qualified consulting engineer 

in determining whether the proposed facility will meet the RF exposure guidelines. 

Should the applicant be unable to conclude that its proposal will have no significant impact on the quality of the 

human environment, or if it proposes a new tower exceeding 450 feet in height, it must submit an Environmental 

Assessment containing the following information: 

 1. A description of the facilities as well as supporting structures and appurtenances, and a description of the 

site as well as the surrounding area and uses. If high-intensity white lighting is proposed or utilized within 

a residential area, the EA must also address the impact of this lighting upon the residents. 

 2. A statement as to the zoning classification of the site, and communications with, or proceedings before 

and determinations (if any) by zoning, planning, environmental and other local, state, or federal authorities 

on matters relating to environmental effects. 
17

 3. A statement as to whether construction of the facilities has been a source of controversy on environmental 

grounds in the local community. 

 4. A discussion of environmental and other considerations that led to the selection of the particular site and, 

if relevant, the particular facility; the nature and extent of any unavoidable adverse environmental effects; 

and any alternative sites or facilities that have been or reasonably might be considered. 

 5. If relevant, a statement why the site cannot meet the FCC guidelines for RF exposure with respect to the 

public and workers. 

Note: Even if the applicant concludes that human RF electromagnetic exposure is consistent with the 

Commission's guidelines, each site user must also meet requirements with respect to "on-tower" or other exposure 

by workers at the site (including RF exposure on one tower caused by sources on another tower or towers). These 

requirements include, but are not limited to, the reduction or cessation of transmitter power when persons have 

access to the site, tower, or antenna. Such procedures must be coordinated among all tower users. See OET 

Bulletin 65 for details. See also 47 CFR § 1.1306. 

CERTIFICATION 

General Certification Statements: Each applicant waives any claim to the use of any particular frequency or of 

the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of 

such frequency(ies) or spectrum, whether by authorization or otherwise. 

Each applicant is responsible for the information that the application instructions convey. As a key element in the 

Commission's streamlined licensing process, a certification is required that these materials have been reviewed and 

that each question response is based on the applicant's review. 

This question also requires the applicant to certify that neither it nor any party to the application is subject to denial 

of federal benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862. 

Section 5301 of the Anti-Drug Abuse Act of 1988 provides federal and state court judges the discretion to deny 

federal benefits to individuals convicted of offenses consisting of the distribution or possession of controlled 

substances. Federal benefits within the scope of the statute include FCC authorizations. The applicant, by 

electronically signing the application, certifies that neither it nor any party to this application has been convicted of 

such an offense or, if it has, it is not ineligible to receive the authorization sought by this application because of 

Section 5301. 

Note: With respect to this certification, the term "party to the application" includes, if the applicant is an 

individual, that individual; if the applicant is a corporation or unincorporated association, all officers, directors, or 

persons holding five percent or more of the outstanding stock or shares (voting and/or non-voting) of the applicant; 

all members if a membership association; and if the applicant is a partnership, all general partners and all limited 

partners, including both insulated and non-insulated limited partners, holding a five percent or more interest in the 

partnership. See 47 CFR § 1.2002(b)-(c). 

Authorized Party to Sign: The applicant must electronically sign the application. Depending on the nature of 

the applicant, the application should be signed as follows: if a sole proprietorship, personally; if a partnership, by a 

general partner; if a corporation, by an officer; for an unincorporated association, by a member who is an officer; if 

a governmental entity, by such duly elected or appointed official as is competent under the laws of the particular 

jurisdiction. Counsel may sign the application for his or her client, but only in cases of the applicant's disability or 

absence from the United States. In such cases, counsel must separately set forth why the application is not signed 
18

by the client. In addition, as to any matter stated on the basis of belief instead of personal knowledge, counsel shall 

separately set forth the reasons for believing that such statements are true. See 47 CFR § 73.3513. The electronic 

signature will consist of the electronic equivalent of the typed name of the individual. See Report and Order in 

MM Docket No. 98-43, 13 FCC Rcd 23056, 23,064 (1998), ¶ 17. 

The Applicant must also check the box to certify that it has submitted with the application all required and relevant 

attachments. 

Click the “Submit Application” button to submit the application. The application is not considered to be 

submitted unless and until you click the “Submit Application” button.

FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT 

If you do not provide the information requested on this form, the application may be returned without action 

having been taken upon it or its processing may be delayed while a request is made to provide the missing 

information. Your response is required to obtain the requested authorization. 

We have estimated that each response to this collection of information will take from 1.25 to 12 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 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 (3060-0110), 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 or if we fail to provide you with this notice. This collection has been 

assigned an OMB control number of 3060-0110. 

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L. 

104-13, OCTOBER 1, 1995, 44 U.S.C. 3507.