Information Collection

Universal Service Worksheet

IC 30954 under ICR 199903-3060-003 · OMB 3060-0785.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Universal Service Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC-457				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Previously Approved
Annual Number of Responses for this IC	44,800	44,800
Annual IC Time Burden (Hours)	68,450	68,450
Annual IC Cost Burden (Dollars)	4,903,000	4,903,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.