FEDERAL

COMMUNICATIONS

Washington,

DC

COMMISSION

Approved

20554

by OMS

3060-0059
Expires

12/31/98

ST A TEMENT REGARDING THE IMPORT A TION OF RADIO FREQUENCY DEVICES

CAPABLE
fRe.d

PART I -All
Date of Entry

Model/Type

Blocks
Entry

Name

ManufactlJ"er's

Consignee's

instrllctio"s

MUST
Nllnber

Be

Name

Co
Port

or Model/Type

OF CAUSING

on rev.rse

Nllnber

bel or.

HARMFUL

coopletin9

INTERFERENCE

lorm. PI..s.

leted
of Entry 1

Harmonized

Trade Name

FCC 10 Number

and Address

type or print

Tariff

Nu-nber

cle.rfy

Quantity

Description

Importer's

NamE1 and Ada-ess

SignatlJ"e

of

Importer

in ink.!

of

of

Item

(not container)

Equipment

or Consignee

Date

Name and Ada-ess

Printed

WARN I NG :
PART

II -With

fPI.ce

.n .X'

or Typed Name

of

Importer

or Consignee

Any person who knowingly

makes a false declaration
may be fined not more than
$250,000 or im rlsoned not more than 5 ears, or both,
ursuant to 18 U.S.C. 1001.
Reg..d

in on!

to

the

Importation

of

the

Described

Radio

Frequency

Devlce!s).

I DECLARE

THAT:

one box!

1.

An equipment

authorization

has been issued by the FCC

2.

An equipment

authorization

Is not required

but the equipment

complies

with FCC technical

requirements.
3.

The described equipment Is being Imported In limited quantities for testing and evaluation for
compliance with technical requirements 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
otherwise

equipment Is being imported

marketed

solely for

export.

The described

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

B.

equipment is being imported

for

use exclusively

of

Entry

code,

Hanmonized

ThiS

quantity

by the U.S. Government.

The described
otherwise

Port
digit

for sale or

6.

sale.

It will not be offered

In the U.S.

Schedule

New

Tariff
must

for repair bnd will not be offered

marketed.

Use

i.e.,

equipment is being Imported

York

D
City,

.
-Classification
NY

of

U.S.

Customs

Districts

and

Ports

for

U.S.

Foreign

Trade

Statistics

-a

four

FCC

Form

740

1001.

Nlrober

-Hanmonized

be

nlrober

total

for sale or

of

Tariff
items,

not

Schedule

of

the

nlrober

of

containers.

United

States

October 1995

INS1RUCTIONS

This fonn

m~

re complet~

Custorm

temtory

shipment

is delivered

for ~h

of the Urutoo

radio

Communications

Attention:
A copy of the completed
examples

device as defi~

OF FCC

In 47 U.S.C.

FORM

740

302 and CFR 2801, which

at the following

is imported

address on or before

into the

the date the

to a U.S. port of enny:

Federal

radio freqtenCY

~uency

COMPLEllON

States. The OrIginal shall be sent to the Corrunission

Washington,

Typical

FOR

form

of devices which
amplifiers,

Commission

OC 20554
Imports

must acco~y
require

microwave

each such entry-

the use of this fonn:

ovens, industrial

tmers,

radio arxITV
ultrasonic

rereivers,

~uipment.

converters,

transceivers,

~mitters,

transmitting

devices,

computers.

Marketing as used in this fonn (arxl47 CFR 2.1201 et ~)

~
sell or lease, offer for sale or lease (inclLXling advertising for sale or
lease, or display at a trade 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 fonn is the number specified in 47 CFR 2. 1204{aX3). Waivers of this limit are oot often granted, but
may be req~ed
from the FCC office responsible for imports. Written waiver requests must contain specific infonnation required by that
office.
Equiprrent
offered

imported

for test, evaluation

for sale or lease, advertised,

or display

(Import Conditions

etc.), Display of such equi~t

3 or 4 of Part II of this fonn)

may not be marketed

(sold or leased,

must be clearly marked as not for sale, See 47 CFR 2.803 specifically

applies.
The identification

(name arxI ntnnber) of the radio frequency device specified on the front of this fonn must be identical

to the name and

number inscribed on the device.

If the device being imported requires an ~uiprnent
authorization
(e.g., certification,
type acceptance,
type approval, or any other fonn of approval), it is important that the name of the manufacturer, description of the device and identification
(name and number) specified on the grant of equi~t
authoriTntion agree exactly with the same information
shown on the front of this
form

A discrepancy

in enforcement

between

the infonnarion

specified

on the FCC docwrx:nts

may result in unnecessary

delays and expense or result

action.

FCC Form 740 may be reproduced provided the follo~ng

conditions are met (see47 CFR O.4f1J,Commission Policy on Private Printing of FCC Fonm.)

(Some of die conditions are listed below):

I,

That prillll1e rompanies reproducing the fonn use a printing process resulting in a product that is rompamhle in quality to the original ~t;

That private companies reproducing the fontl refi1lin fi1:>m

including therein or attaching thereto any advertising rmtter or deleting any material from the fOm1;

3,

That private companies reproducing the t"ormexercise care to assure that the tOntl being reproduced or distributed is the current edition presently used by the
COIrnlission tor the type of application involved: such private COn1Jal1y
to be oovised that, though the ColIUnission will endeavor to keep the pubic advised
of revisions in the folTlL it cannot a5SUIJx:responsibility to the extent of eliminating any element of risk against ovemocking, etc.

PAPERWORK

REDUCI1ON

ACT

STATE1\tIENf

AND

PRIVACY

ACT

STATEMENT

The solicitation of infornmion requested on this fontl is authorized by the Communications Act of 1934,as ~ded.
The infonnation rollected will be used to
ascertain whether equiJXIK:ntauthorization is required. and if so. \\hether or not it has been granted. If all the infonmtion is not provided, the importation of this
or other shiJXIK:ntsmay be dela}'ed or prevented, Accordingly, every effort should be made to provide all necessal)' infonnation, Your responseis required to obtain
a benefit
Public reponing burden for this rollection of infomlation is estinmed to average ,04 secondsper response,including the ti~ for reviewing instructions searching
existing data sources. gathering and maintaining the data needed, and completing and revie\\1ng the collection of infonnation, CoIm'x:nts regarding this bur<k:n
estimate or any other aspect of this collection of infontlation. including suggestions for reducing the burden. should be sent to the Federal Communications
CoIrInissioo. Perl"omux:e Evdiuation andRecords lI,1anagelrenl W~ngtoo. OC 20554. ?aper\\'OrkReduction Project (3~59)
DO NOT SEND roMPI.EfED
FO~
TO 1lDS ADDRESS!
Individuals are not requieed to respond to a collection of information unless it displa~ a currently valid OMB control

number.
mE

FOREGOING

PAPERWORK

NonCE

RmUcnON

IS REQUIRED

BY mE

PRlVAO"

ACT OF 1974, P.L. 9~S'79, DECEMBERJI.

ACT OF 1995, P.L. IIM-IJ, OCTOBER

I, 1m

1974, S U.s.C

552a(e)(J), AND mE

44 U.s.C J5(r7.

FCC FOntl 740 Instructions -Page 2

Cktober1~

,- ,.,.

"

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