Universal Service Worksheet

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
30954	Universal Service Worksheet	Form	Migrated

ICR Details

OMB Control No: 3060-0785	ICR Reference No: 199903-3060-003
Status: Historical Active	Previous ICR Reference No: 199807-3060-003
Agency/Subagency: FCC	Agency Tracking No:
Title: Universal Service Worksheet
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 03/08/1999
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/05/1999
	Date Received in OIRA: 03/04/1999
Terms of Clearance: The FCC has permission to use an edition date rather than an expiration date. The FCC shall ensure that the respondents know the correct version of the form FCC-457 to use and also shall notify the public of the substantive changes regarding inside wiring maintenance costs using an appropriate mechanism. FCC should continue to work in increasing the use of electronic filing mechanisms.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1999	09/30/1999	04/30/1999
Responses	44,800	0	44,800
Time Burden (Hours)	68,450	0	68,450
Cost Burden (Dollars)	4,903,000	0	4,903,000

---

Abstract: Section 54.703 requires all telecommunications carriers providing interstate telecommunications services, providers of interstate telecommunications that offer services to others for a fee, and pay telephone providers to contribute to universal service support mechanisms. Contributors must file the universal service worksheet semiannuallly. The information is used to calculate contributions to universal support mechanisms. The form has been revised so that carriers can report revenues from inside wiring maintenance on line (50) with other non-telecommunications revenues, instead of line 34.

Emergency Justfication:

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Universal Service Worksheet	FCC-457

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	44,800	44,800	0	0	0	0
Annual Time Burden (Hours)	68,450	68,450	0	0	0	0
Annual Cost Burden (Dollars)	4,903,000	4,903,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/04/1999

---