Service Provider Identification Number and Contact Form

ICR 200606-3060-004

OMB: 3060-0824

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
44158 Migrated
ICR Details
3060-0824 200606-3060-004
Historical Active 200305-3060-016
FCC
Service Provider Identification Number and Contact Form
Revision of a currently approved collection   No
Regular
Approved without change 09/01/2006
Retrieve Notice of Action (NOA) 06/09/2006
  Inventory as of this Action Requested Previously Approved
09/30/2009 36 Months From Approved 08/31/2006
5,000 0 5,000
7,500 0 10,000
0 0 0

The Administrator of the universal service program must obtain contact and remittance information from service providers participating in the universal service high cost, low income, rural health care, and schools and libraries programs. The Administrator uses FCC Form 498 to collect service provider name, phone numbers, other contact information, and remittance information from universal service fund participants to enable the Administrator to perform its universal service disbursement functions under 47 CFR Part 54 FCC Form 498 allows fund participants to direct remittance to third parties or ....

None
None


No

1
IC Title Form No. Form Name
Service Provider Identification Number and Contact Form FCC-498

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 7,500 10,000 0 0 -2,500 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.
06/09/2006


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