Attachment_0013_-_DD1494_Frequency_Alocation_Form.doc
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APPLICATION FOR EQUIPMENT
FREQUENCY ALLOCATION
CLASSIFICATION
UNCLASSIFIED
DATE
FORM APPROVED
OMB No. 0704-0188
DOD GENERAL INFORMATION
TO
Army Spectrum Management Office (ASMO)
6916 Cooper Avenue
Ft. Meade, MD 20755-9701
FROM
PdM UGV
Selfridge Air National Guard Base
Bldg 1414, West Perimeter Road
Harrison Township, MI 48045
1.
APPLICATION TITLE
2.
SYSTEM NOMENCLATURE
3.
STAGE OF ALLOCATION
(X one)
FORMCHECKBOX
a.
STAGE 1
CONCEPTUAL
FORMCHECKBOX
b.
STAGE 2
EXPERIMENTAL
FORMCHECKBOX
c.
STAGE 3
DEVELOPMENTAL
FORMCHECKBOX
d.
STAGE 4
OPERATIONAL
4.
FREQUENCY REQUIREMENTS
a.
Frequency:
b.
Emission Designator:
a.
STAGE 2
b.
STAGE 3
c.
STAGE 4
6.
EXTENT OF USE
7.
GEOGRAPHICAL AREA FOR
a. STAGE 2
b. STAGE 3
c. STAGE 4
8.
NUMBER OF UNITS
b.
c.
9.
NUMBER OF UNITS OPERATING SIMULTANEOUSLY IN THE SAME ENVIRONMENT
OTHER J/F 12 APPLICATION NUMBER(S) TO BE
FORMCHECKBOX
a. SUPERSEDED J/F 12/
FORMCHECKBOX
b. RELATED
J/F 12/ 11.
IS THERE ANY OPERATIONAL REQUIREMENT AS DESCRIBED
IN THE INSTRUCTIONS FOR PARAGRAPH 11?
a. YES FORMCHECKBOX
b. NO FORMCHECKBOX
c. NAvail
12.
NAMES AND TELEPHONE NUMBERS
PROGRAM MANAGER
(1)
COMMERCIAL
(2)
AUTOVON
PROJECT ENGINEER
(1)
COMMERCIAL
(2)
AUTOVON
N/A
13.
REMARKS
DOWNGRADING INSTRUCTIONS
NA
CLASSIFICATION
DD Form 1494, AUG 96
CLASSIFICATION
PAGE
TRANSMITTER EQUIPMENT CHARACTERISTICS
1.
NOMENCLATURE, MANUFACTURER’S MODEL NO.
2.
MANUFACTURER’S NAME
3.
TRANSMITTER INSTALLATION
4.
TRANSMITTER TYPE
5.
TUNING RANGE
6.
METHOD OF TUNING
7.
RF CHANNELING CAPABILITY
8.
EMISSION DESIGNATOR(S)
9.
FREQUENCY TOLERANCE
10.
FILTER EMPLOYED (X one)
a. YES
b. NO
11.
SPREAD SPECTRUM (X one)
FORMCHECKBOX
b. NO 12.
EMISSION BANDWIDTH (X and complete as applicable)
CALCULATED
FORMCHECKBOX
MEASURED
13.
MAXIMUM BIT RATE
a. -3 dB:
b. -20 dB:
14.
MODULATION TECHNIQUES AND CODING
c. -40 dB:
d. -60 dB:
e. OC - BW:
15.
MAXIMUM MODULATION FREQUENCY
16.
PRE-EMPHASIS (X one)
FORMCHECKBOX
b. NO 17.
DEVIATION RATIO
18.
PULSE CHARACTERISTICS
19.
POWER
a. RATE
a. MEAN
b. WIDTH
b. PEP
c. RISE TIME
20.
OUTPUT DEVICE
d. FALL TIME
e. COMP RATIO
21.
HARMONIC LEVEL
22.
SPURIOUS LEVEL
a. 2nd
23.
FCC TYPE ACCEPTANCE NO.
b. 3rd
c. OTHER (4th Level)
24.
CLASSIFICATION
DD Form 1494, AUG 96
CLASSIFICATION
UNCLASSIFIED
PAGE
RECEIVER EQUIPMENT CHARACTERISTICS
1.
NOMENCLATURE, MANUFACTURER’S MODEL NO.
2.
3.
RECEIVER INSTALLATION
4.
RECEIVER TYPE
5.
TUNING RANGE
6.
METHOD OF TUNING
7.
RF CHANNELING CAPABILITY
8.
EMISSION DESIGNATOR (S)
9.
FREQUENCY TOLERANCE
10.
IF SELECTIVITY
| 1st |
| 2nd |
| 3rd |
| 11. |
RF SELECTIVITY (X and complete as applicable)
a. -3 dB
CALCULATED
MEASURED
b. -20 dB
a. -3 dB:
c. -60 dB
b. -20 dB:
c. -60 dB:
12.
IF FREQUENCY NAvail
d. Preselection Type
a. 1st
13.
MAXIMUM POST DETECTION FREQUENCY
b. 2nd
14.
MINIMUM POST DETECTION FREQUENCY
c. 3rd
16.
MAXIMUM BIT RATE
15.
OSCILLATOR TUNED
| 1st |
| 2nd |
| 3rd |
| 17. |
SENSITIVITY
ABOVE TUNED
FREQUENCY
a. SENSITIVITY
BELOW TUNED
FREQUENCY
b. CRITERIA c.
EITHER ABOVE OR
BELOW THE FREQUENCY
c. NOISE FIG
18.
DE-EMPHASIS (X one)
FORMCHECKBOX
d. NOISE TEMP
19.
IMAGE REJECTION
20.
SPURIOUS REJECTION
21.
CLASSIFICATION
DD Form 1494, AUG 96
CLASSIFICATION
PAGE
ANTENNA EQUIPMENT CHARACTERISTICS
| 1. |
| FORMCHECKBOX |
a. TRANSMITTING
FORMCHECKBOX
b. RECEIVING
FORMCHECKBOX
c. TRANSMITTING AND RECEIVING
2. NOMENCLATURES, MANUFACTURER’S MODEL NO.
3.
4.
FREQUENCY RANGE
5.
TYPE
6.
POLARIZATION
7.
SCAN CHARACTERISTICS
8.
GAIN
VERTICAL SCAN
MAIN BEAM
(1) Max Elev b.
1st MAJOR SIDE LOBE
(2) Min Elev
(3) Scan Rate
9.
BEAMWIDTH
HORIZONTAL SCAN
HORIZONTAL
(1) Sector Scanned
VERTICAL
(2) Scan Rate d.
SECTOR BLANKING (X one)
(1) YES FORMCHECKBOX
(2) NO
10.
CLASSIFICATION
DD Form 1494, AUG 96
CLASSIFICATION
PAGE
ANTENNA EQUIPMENT CHARACTERISTICS
| 1. |
| FORMCHECKBOX |
a. TRANSMITTING
FORMCHECKBOX
b. RECEIVING
FORMCHECKBOX
c. TRANSMITTING AND RECEIVING
2. NOMENCLATURES, MANUFACTURER’S MODEL NO.
3.
4.
FREQUENCY RANGE
5.
6.
POLARIZATION
7.
SCAN CHARACTERISTICS
TYPE N/A
8.
GAIN
VERTICAL SCAN N/A
MAIN BEAM
(1) Max Elev b.
1st MAJOR SIDE LOBE
(2) Min Elev
(3) Scan Rate
9.
BEAMWIDTH
HORIZONTAL SCAN N/A
HORIZONTAL
(1) Sector Scanned
VERTICAL
(2) Scan Rate
SECTOR BLANKING (X one)
(1) YES FORMCHECKBOX
(2) NO
10.
CLASSIFICATION
DD Form 1494, AUG 96
APPLICATION FOR
SPECTRUM REVIEW
CLASSIFICATION:
UNCLASSIFIED
PAGE
NTIA GENERAL INFORMATION
1.
APPLICATION TITLE
2.
3.
STAGE OF ALLOCATION (X one)
FORMCHECKBOX
STAGE 1
CONCEPTUAL
FORMCHECKBOX
EXPERIMENTAL
FORMCHECKBOX
DEVELOPMENTAL
FORMCHECKBOX
OPERATIONAL
4.
FREQUENCY REQUIREMENTS
5.
PURPOSE OF SYSTEM, OPERATIONAL AND SYSTEM CONCEPTS
(WARTIME USE) (X one)
FORMCHECKBOX
a. YES
6.
INFORMATION TRANSFER REQUIREMENTS
7.
ESTIMATED INITIAL COST OF THE SYSTEM
8.
TARGET DATE FOR
APPLICATION APPROVAL
b.
SYSTEM ACTIVATION
c.
SYSTEM TERMINATION
9.
SYSTEM RELATIONSHIP AND ESSENTIALITY
10.
REPLACEMENT INFORMATION
11.
RELATED ANALYSIS AND/OR TEST DATA
12.
NUMBER OF MOBILE UNITS
13.
GEOGRAPHICAL AREA FOR
a. STAGE 2
b. STAGE 3
c. STAGE 4
14.
LINE DIAGRAM
15.
SPACE SYSTEMS
16.
TYPE OF SERVICE(S) FOR STAGE 4
17.
STATION CLASS(ES) FOR STAGE 4
18.
DOWNGRADING INSTRUCTIONS
CLASSIFICATION
DD Form 1494, AUG 96
| APPLICATION FOR FOREIGN SPECTRUM SUPPORT |
| CLASSIFICATION: |
UNCLASSIFIED
PAGE
FOREIGN COORDINATION GENERAL INFORMATION
1.
APPLICATION TITLE
2.
3.
STAGE OF ALLOCATION (X one)
FORMCHECKBOX
STAGE 1
CONCEPTUAL
FORMCHECKBOX
EXPERIMENTAL
FORMCHECKBOX
DEVELOPMENTAL
FORMCHECKBOX
OPERATIONAL
4.
FREQUENCY REQUIREMENTS
5.
PROPOSED OPERATING LOCATIONS OUTSIDE US&P
6.
PURPOSE OF SYSTEM, OPERATIONAL AND SYSTEM CONCEPTS
7.
INFORMATION TRANSFER REQUIREMENTS
8.
NUMBER OF UNITS OPERATING SIMULTANEOUSLY IN THE SAME ENVIRONMENT
9.
REPLACEMENT INFORMATION
10.
LINE DIAGRAM
11.
SPACE SYSTEMS
12.
PROJECTED OPERATIONAL DEPLOYMENT DATE
13.
DOWNGRADING INSTRUCTIONS
N/A
CLASSIFICATION
DD Form 1494, AUG 96
CLASSIFICATION
PAGE
Line Diagram
CLASSIFICATION
DD Form 1494, AUG 96
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