Telecommunications Reporting Worksheets and Related Collections

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 499-A Telecommunications Reporting Worksheets and Related Collections	Form	Removed	Available
Form FCC Form 499-A (20 FCC Form 499-A, Telecommunications Reporting Worksheets	Form	New	Available
0855 Addendum (TAPD additions pm) for FCC Form 499-A and Form 499-Q_020408.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-02-04	Available
Vonage Holdings Corp Decision.doc	Supplementary Document	Uploaded 2007-08-08	Available
TRS Order.doc	Supplementary Document	Uploaded 2007-08-08	Available
3060-0855 ss (Vonage TRS) 8-08-07.doc	Supporting Statement A	Uploaded 2007-08-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44159	Telecommunications Reporting Worksheets and Related Collections	Form	Removed
188198	FCC Form 499-A, Telecommunications Reporting Worksheets	Form	New

ICR Details

OMB Control No: 3060-0855	ICR Reference No: 200902-3060-030
Status: Historical Active	Previous ICR Reference No: 200802-3060-003
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Telecommunications Reporting Worksheets and Related Collections
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/14/2009
	Date Received in OIRA: 02/27/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	09/30/2010	09/30/2010
Responses	36,068	0	36,068
Time Burden (Hours)	273,129	0	273,129
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Communications Commission requires all telecommunications providers and certain other providers of telecommunications, such as providers of interconnected voice over Internet protocol (VoIP) services, to contribute to universal service and telecommunications relay service. Wireless and interconnected VoIP providers are required to contribute based either on their actual interstate end-user gross-billed telecommunications revenues, interim safe harbors, or traffic studies.

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Authorizing Statute(s): US Code: 47 USC 151 Name of Law: null
   US Code: 47 USC 154(i) Name of Law: null
   US Code: 47 USC 154(j) Name of Law: null
   US Code: 47 USC 155 Name of Law: null
   US Code: 47 USC 157 Name of Law: null
   US Code: 47 USC 201 Name of Law: null
   US Code: 47 USC 205 Name of Law: null
   US Code: 47 USC 214 Name of Law: null
   US Code: 47 USC 225 Name of Law: null
   US Code: 47 USC 254 Name of Law: null
   US Code: 47 USC 303(r) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 30005	05/30/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 44534	08/08/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 499-A, Telecommunications Reporting Worksheets	FCC Form 499-A (2009)	Telecommunications Reporting Worksheets
Telecommunications Reporting Worksheets and Related Collections	FCC Form 499-Q, FCC Form 499-A, 499-A, 499-Q	Telecommunications Reporting Worksheet (Reporting Calendar 2007 Revenues) ,   2007 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting Calendar 2006 Revenues) REVISED ,   FCC Form 499-Q Telecommunications Reporting Worksheet ,   Telecommunications Reporting Worksheet

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ICR Summary of Burden

table that charts list of burden

	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	36,068	36,068	0	0	0	0
Annual Time Burden (Hours)	273,129	273,129	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: There is no change in burden. The Commission is only uploading the current version of FCC Form 499-A and Instructions (2009 edition). All other editions are obsolete and should not be used.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/27/2009

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