OMB
.report
Search
Businesses - Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions (47 CFR 54.400-54.417)
Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions
OMB: 3060-0819
IC ID: 31116
OMB.report
FCC
OMB 3060-0819
ICR 200804-3060-004
IC 31116
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:
2024-06-10 - Revision of a currently approved collection
2024-03-19 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FCC 497
Businesses - Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions (47 CFR 54.400-54.417)
Form and Instruction
FCC 497 Lifeline and Link Up Worksheet (and Instructions)
0819_FCC Form 497 and Instructions_062708 final.xls
www.universalservice.org/li/telecom/step06/form497.aspx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Businesses - Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions (47 CFR 54.400-54.417)
Agency IC Tracking Number:
WCB
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
47 CFR 54.400 - 54.417
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FCC 497
Lifeline and Link Up Worksheet (and Instructions)
0819_FCC Form 497 and Instructions_062708 final.xls
http://www.universalservice.org/li/telecom/step06/form497.aspx
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,800
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
27,000
0
1,800
-1,292,855
0
1,318,055
Annual IC Time Burden (Hours)
41,400
0
1,800
-61,893
0
101,493
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.