FCC Consumer Complaint Form 475 and 475B

ICR 200509-3060-014

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
31264 Migrated
ICR Details
3060-0874 200509-3060-014
Historical Active 200412-3060-015
FCC
FCC Consumer Complaint Form 475 and 475B
Revision of a currently approved collection   No
Regular
Approved without change 11/01/2005
Retrieve Notice of Action (NOA) 09/22/2005
  Inventory as of this Action Requested Previously Approved
11/30/2008 11/30/2008 03/31/2006
1,354,619 0 83,287
359,477 0 41,644
0 0 0

Form 475 has been revised to streamline the general informal complaint process, excluding slamming and programming complaints. Form 475 allows the FCC to collect detailed information from consumers on the practices of telecommunications companies to assist in resolving informal complaints and to collect data as a part of the investigative work performed by federal and state law enforcement agencies. Form 475B allows the FCC to collect detailed data from consumers on the practices of programming providers that may air obscene, profane, and/or indecent material that will be used to assist in the resolution of informal...

None
None


No

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

  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 1,354,619 83,287 0 1,271,332 0 0
Annual Time Burden (Hours) 359,477 41,644 0 317,833 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/22/2005


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