OMB control number

Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624

OMB 3060-1230 · FCC.

OMB 3060-1230

The subject information collection provides an efficient mechanism for commercial spectrum licensees, federal spectrum users, and spectrum licensees with a public safety or safety-of-life mission to report incidents of radio interference.

The latest form for Enterprise Service and Public Safety Interference Complaint Intake Form, FCC-5624 expires 2029-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1230 Supporting Statement_final version_012026.docx Supporting Statement A
Federal Government Other-Screenshot: ESIX Complaint Submission Form
State, Local or Tribal Governments Other-Screenshot: ESIX Complaint Submission
Business or other for-profits Other-Screenshot: PSIX Complaint Submission

All Historical Document Collections

202601-3060-013 Approved without change	Extension without change of a currently approved collection	2026-01-29
202303-3060-004 Approved without change	Extension without change of a currently approved collection	2023-03-28
202004-3060-006 Approved without change	Extension without change of a currently approved collection	2020-04-30
201704-3060-012 Approved without change	New collection (Request for a new OMB Control Number)	2017-04-17

OMB Details

Business or other for-profits

Federal Enterprise Architecture: General Government - Central Fiscal Operations