Application Form [pdf]

This document pretains to SAT-STA-20100917-00194 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2010091700194_840705

                                                                                                    Approved by OMB
                                                                                                           3060−0678

Date & Time Filed: Sep 17 2010 7:16:57:963PM
File Number: SAT−STA−20100917−00194
Callsign:

                                         FEDERAL COMMUNICATIONS COMMISSION
                              APPLICATION FOR SPACE STATION SPECIAL TEMPORARY AUTHORITY

                                                    FOR OFFICIAL USE ONLY

  APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
XM−5 (Call Sign S2786) 30−Day STA Request to permit in−orbit testing
1. Applicant

           Name:        XM Radio Inc.                   Phone Number:        202−380−4000
           DBA Name:                                    Fax Number:          202−380−4981
           Street:      1500 Eckington Place, NE        E−Mail:              james.blitz@siriusxm.com


           City:        Washington                      State:               DC
           Country:     USA                             Zipcode:             20002       −
           Attention:   James S. Blitz




1


2. Contact

             Name:         Karis A. Hastings, Esq.               Phone Number:                        202−637−5767
             Company:      Hogan Lovells US LLP                  Fax Number:                          202−637−5910
             Street:       555 Thirteenth Street, NW             E−Mail:                              karis.hastings@hoganlovells.com



             City:         Washington                            State:                               DC
             Country:        USA                                 Zipcode:                             20004      −1109
             Attention:                                          Relationship:


(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related
application. Please enter only one.)
3. Reference File Number         or Submission ID
4a. Is a fee submitted with this application?
     If Yes, complete and attach FCC Form 159.       If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
    Governmental Entity            Noncommercial educational licensee
    Other(please explain):

4b. Fee Classification    CRY − Space Station (Geostationary)
5. Type Request

    Change Station Location                             Extend Expiration Date                           Other


6. Temporary Orbit Location                                                 7. Requested Extended Expiration Date




2


8. Description   (If the complete description does not appear in this box, please go to the end of the form to view it in its entirety.)
       XM Radio Inc. (XM) requests special temporary authority for 30 days to to perform in−orbit
       testing of XM−5 (Call Sign S2786) at 80 W.L.




9. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject         Yes         No
to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti−Drug Act of 1988,
21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47 CFR
1.2002(b) for the meaning of "party to the application" for these purposes.


10. Name of Person Signing                                                  11. Title of Person Signing
James S. Blitz                                                              Vice President, Regulatory Counsel
12. Please supply any need attachments.
    Attachment 1: Attachment 1                      Attachment 2:                                     Attachment 3:


            WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT
                   (U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION
                    (U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).




3


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you
have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the
Federal Communications Commission, AMD−PERM, Paperwork Reduction Project (3060−0678), Washington, DC 20554. We will also accept
your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to PRA@fcc.gov. PLEASE
DO NOT SEND COMPLETED FORMS 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 3060−0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104−13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




4



Document Created: 2019-04-20 15:58:11
Document Modified: 2019-04-20 15:58:11

© 2024 FCC.report
This site is not affiliated with or endorsed by the FCC