Information Collection

Universal Service Worksheet

IC 42479 under ICR 200001-3060-007 · OMB 3060-0785.

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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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	44,800	0	44,800
Annual IC Time Burden (Hours)	68,450	0	68,450
Annual IC Cost Burden (Dollars)	0	-4,903,000	4,903,000

Documents for IC

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