Interstate Telephone Service Provider Worksheet

ICR 200411-3060-013

OMB: 3060-0949

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
42532 Migrated
ICR Details
3060-0949 200411-3060-013
Historical Active 200310-3060-016
FCC
Interstate Telephone Service Provider Worksheet
No material or nonsubstantive change to a currently approved collection   No
Delegated
Approved without change 11/01/2004
Retrieve Notice of Action (NOA) 11/01/2004
  Inventory as of this Action Requested Previously Approved
10/31/2006 10/31/2006 10/31/2006
4,000 0 4,000
1,000 0 1,000
0 0 0

The information supplied will assist applicants in determining the correct amount of regulatory fees owed the Commission, and will facilitate FCC verification that correct fee amounts have been paid. This form will be filed annually, but only by those parties who are required to pay the interstate telephone operator service provider fee.

None
None


No

1
IC Title Form No. Form Name
Interstate Telephone Service Provider Worksheet FCC-159-W

  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 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/01/2004


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