Fillable Printable TIN Registration Form - U. S. Federal Communication Commission
Fillable Printable TIN Registration Form - U. S. Federal Communication Commission
TIN Registration Form - U. S. Federal Communication Commission
FEDERAL COMMUNICATIONS COMMISSION
FCC 606
Approved by OMB
Information and Instructions
3060 – 0795
Est. Avg. Burden
TIN Registration Form
Per Response:
1 hour
NOTICE TO INDIVIDUALS REQUIRED BY THE PRIVACY ACT OF 1974 AND
THE PAPERWORK REDUCTION ACT OF 1995
We have estimated that each response to this collection of information will take on average 1 hour. Our estimate includes the time to
read instructions, look through existing records, gather and maintain required data, and actually complete and review the form or
response. If you have any comments on this estimate or on how we can improve the collection and reduce the burden it causes you,
please write the Federal Communications Commission, AMD-PERM, Washington, DC 20554, Paperwork Reduction Project (3060-
0795). We will also accept your comments via the Internet if you send them to [email protected]. Please do not send completed
application forms to this address.
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 3060-0795.
The FCC is authorized under the Communications Act of 1934, as amended, to collect the personal information we request in this
form. We will use the information you provide to determine whether approving this application is in the public interest. If we believe
there may be a violation or potential violation of a statute, FCC regulation, rule or order, your application may be referred to the
Federal, state, or local agency responsible for investigating, prosecuting, enforcing or implementing the statute, rule, regulation or
order. In certain cases, the information in your application may be disclosed to the Department of Justice or a court or adjudicative
body when (a) the FCC; or (b) any employee of the FCC; or (c) the United States Government, is a party to a proceeding before the
body or has an interest in the proceeding.
If you owe a past due debt to the Federal government, the Taxpayer Identification Number (such as your Employer Identification
Number or Social Security Number) and other 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.
(See Debt Collection Improvement Act of 1996, Public Law 104-134.)
In addition, all information provided in this form, except Taxpayer Identification Number, will be available for public inspection. If you
do not provide the information we request on the form, the FCC may delay processing of your application or may return your
application 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 606 Instructions
May 1999 - Page 1
General Instructions
Purpose of Form
FCC Form
606 is used to: 1)register a licensee’s Taxpayer Identification Number (TIN) and its associated
Wireless
Telecommunications
call signs with the Federal Communications Commission; 2) register the Taxpayer Identification Number
(TIN) of a first time applicant for a
Wireless Telecommunications
license with the Federal Communications Commission; or 3)
register the Taxpayer Identification Number (TIN) of the owner of an antenna structure and its associated antenna structure
registration numbers with the Federal Communications Commission. This form must also be used by an antenna structure tenant
licensee who is required to register the antenna structure because the owner is subject to the Anti-Drug Abuse Act of 1988.
Who Must File This Form and When
All existing license holders and antenna structure owners must file FCC Form 606. The form should be filed as soon as possible. It
must
be submitted before filing any subsequent applications associated with the existing license or antenna structure registration.
Additionally, this form must be submitted prior to applying for a Wireless Telecommunications license or an antenna structure
registration for the first time.
Information Current and Complete
Information filed with the FCC must be kept current and complete. The licensee/antenna structure owner must notify the FCC
regarding any substantial and significant changes in the information furnished in the application(s). See Section 1.65 of the
Commission’s rules.
Paper Copies and Mailing Address
The number of paper copies of this application required to be filed is one original. Filers submitting paper copies of FCC Form 606
should mail them to Federal Communications Commission, 1270 Fairfield Road, Gettysburg, PA 17325-7245.
Applicable Rules and Regulations
Filers should refer to the Debt Collection Improvement Act of 1996. The Debt Collection Act requires all federal agencies to ensure
that no debtors to the Federal government receive refunded monies. To ensure this, the FCC must collect TIN information to
correlate its filers with any outstanding Federal debt that they might have incurred in other dealings with the Federal government.
For Assistance
For assistance with this application, contact the Federal Communications Commission, 1270 Fairfield Road, Gettysburg, PA
17325-7245, phone 1-888-CALLFCC (225-5322) or E-mail questions to [email protected].
Electronic Filers
For assistance with filing electronically, contact the FCC’s ULS homepage @ http://www.fcc.gov/wtb/uls or contact the Wireless
Telecommunications Bureau Technical Support line, (202) 414-1250.
Instructions for Main Form
Ø
Licensee/Antenna Structure Owner Information
Item 1a Taxpayer Identification Number (TIN) of the licensee/antenna structure owner. For individuals, enter the
9 digit
Social
Security Number. For all other filers, enter the
9 digit
Employer Identification Number. This data is required to comply with the Debt
Collection Improvement Act of 1996. This information will not be made available for public inspection.
Item 1b This item is optional for entities and not applicable to individuals. A Sub-Group Identification Number (SGIN) is required in
instances where an entity does not have a unique TIN because it is a sub-group or department of the entity identified by the TIN (
e.g.
,
a governmental entity or academic institution) and therefore shares the TIN with other subgroups or departments of the same entity.
The SGIN allows each sub-group to track the licenses/registrations it holds. If an SGIN is used, enter any combination of three
numbers or letters. The SGIN is not needed for entities that have a unique TIN that is not used by any other entity. The sub-group
identification number is self-assigned and limited to three characters.
FCC 606 Instructions
May 1999 - Page 2
Items 2-11 These items identify the person or entity that is registering the TIN and call signs/registration numbers. Items 2-9 must
be completed; Items 10 and 11 (FAX and E-Mail) are optional. Complete either Item 2 (Name) or Item 3 (Entity Name), depending on
whether the licensee is an individual or an entity, respectively.
You may enter a post office box number in Item 4 or a street address in Item 5, or enter information for both items.
Ø
Contact Information
Items 12-21 These items identify the contact representative, if different from the licensee/antenna structure owner. This is usually
the headquarters office of a large company, the law firm or other representative of the licensee/antenna structure owner, or the
person or company that prepared or submitted the application on behalf of the licensee/antenna structure owner. If there is a
question about the application, an FCC representative will communicate with the licensee’s contact representative.
If this section is used, a name (Item 12) and telephone number (Item 19) are required at a minimum. If the address items are
completed, you may enter a post office box number in Item 14 or a street address in Item 15, or enter information for both items.
Ø
Associated Valid Call Signs or Antenna Structure Registration Numbers
Item 22 Licensees should list all valid
Wireless Telecommunications
call signs associated with the Taxpayer Identification Number
and Sub-Group Identification Number (if used) entered in Items 1a and 1b.
Item 23 Antenna Structure owners should list all valid antenna structure registration numbers associated with the Taxpayer
Identification Number and Sub-Group Identification Number (if used) entered in Items 1a and 1b.
FCC 606 Instructions
May 1999 - Page 3
FCC 606
Approved by OMB
TIN Registration Form
3060-0795
See instructions for
public burden estimate
Licensee/Antenna Structure Owner Information
1a) Taxpayer Identification Number (9 digits):
1b) Sub-Group Identification Number
(3 characters only)
2) First Name (if individual): MI: Last Name: Suffix:
3) Entity Name (if other than individual):
4) P.O. Box: And
/Or
5) Street Address:
6) City: 7) State:
8) ZIP Code:
9) Telephone Number: 10) FAX:
11) E-Mail:
Contact Information
(if different from the applicant)
12) First Name: MI: Last Name: Suffix:
13) Entity Name:
14) P.O. Box: And
/Or
15) Street Address:
16) City: 17) State:
18) ZIP Code:
19) Telephone Number: 20) FAX:
21) E-Mail:
22)
Associated Wireless Telecommunications Valid Call Signs
(attach additional sheets if necessary)
23)
Antenna Structure Registration Numbers
(attach additional sheets if necessary)
FCC 606 May 1999 - Page 1
