Consumer Complaint Form, FCC Form 475

ICR 200412-3060-015

OMB: 3060-0874

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
31263 Migrated
ICR Details
3060-0874 200412-3060-015
Historical Active 200108-3060-017
FCC
Consumer Complaint Form, FCC Form 475
Revision of a currently approved collection   No
Regular
Approved without change 03/10/2005
Retrieve Notice of Action (NOA) 12/17/2004
The possibility of combining FCC form 501 and form 495 should be explored. The complaint website is somewhat confusing to the consumer. Collection will be approved for one year.
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006 03/31/2005
83,287 0 58,772
41,644 0 29,386
0 0 0

The revised FCC Form 475 allows the Commission to collect detailed data from consumers on the practices of common carriers. The information contained in the collection will allow consumers to provide the Commission with the relevant information required and help consumers to develop a concise statement outlining the issue in dispute. The information will then be used to assist in the resolution of informal complaints and to collect data required to assess the practices of common carriers. FCC Form 475 has been revised streamlining information requirements.

None
None


No

1
IC Title Form No. Form Name
Consumer Complaint Form, FCC Form 475 FCC-475

  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 83,287 58,772 0 0 24,515 0
Annual Time Burden (Hours) 41,644 29,386 0 0 12,258 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.
12/17/2004


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