Federal Communications Commission
Study Area Boundary Recertification
OMB Control Number: 3060-1181
I hereby certify that the study area boundary data last submitted to the Federal 
Communications Commission is accurate and correct to the best of my knowledge, information, 
and belief.
State Entity: ____________________________________________________
First Name: ________________________
Last Name: ________________________
Street Address: _______________________________________________________
_______________________________________________________
City: _______________________________
State: ______________________________
Zip Code: ___________________________
Phone Number: ______________________
E-mail: _____________________________________________________________
_____________________________________ _______________________
Signature Date
Please attach a list of the study areas whose boundaries are being recertified. Identify these 
areas using their six-digit study area codes.