Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions

Forms and Documents

Document Name	Status
Form FCC 497 FCC 497 Form and Instruction	Modified
0819_ss_PartA_020411.doc Supporting Statement A	2011-02-04
0819_ss_PartB_020411.doc Supporting Statement B	2011-02-04
0819_Cert and Verif Letter_020411.doc Supplementary Document	2011-02-04
0819_ Annual Lifeline Certification & Verification letter_080108 final.doc Supplementary Document	2008-08-04
0819_ Annual Lifeline Certification & Verification letter_062708 Final.doc Supplementary Document	2008-06-27
0819_FCC Form 497 and Instructions_062708 final.xls Supplementary Document	2008-06-27

IC Document Collections

IC ID	Document Title	Status
31116	FCC 497 Form and Instruction	Modified
196138	Verification of Continued Eligibility	New
185378	Section 54.417, Lifeline Recordkeeping	Modified
185376	Certification of Income Eligibility Upon Enrollment	Modified

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 201011-3060-003
Status: Historical Active	Previous ICR Reference No: 200807-3060-015
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Sections 54.400 - 54.417, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/15/2011
	Date Received in OIRA: 02/04/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	07/31/2011
Responses	279,850	0	227,055
Time Burden (Hours)	49,386	0	61,788
Cost Burden (Dollars)	0	0	0

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Abstract: Eligible Telecommunications carriers are permitted to receive universal service support reimbursement for offering certain services to qualifying low-income customers. The telecommunications carriers must file FCC Form 497 to solicit reimbursement. Collection of this data is necessary for the administrator to accurately provide settlements for the low-income programs according to Commission rules. The Commission has issued a Report and Order and Further Notice of Proposed Rulemaking (FCC 04-87) that modifies the Commission's rules to improve the effectiveness of the low-income support mechanism. ..

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Authorizing Statute(s): US Code: 47 USC 1 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 4(i) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201-205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 403 Name of Law: Communications Act of 1934, as amended
  

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:
	75 FR 69440	11/12/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 6132	02/03/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
FCC 497	FCC 497	Lifeline and Link Up Worksheet (and Instructions)
Section 54.417, Lifeline Recordkeeping
Certification of Income Eligibility Upon Enrollment
Verification of Continued Eligibility

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ICR Summary 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	279,850	227,055	0	0	52,795	0
Annual Time Burden (Hours)	49,386	61,788	0	0	-12,402	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission is reporting an increase of 52,795 respondents for this revised IC. The increase in respondents/responses is based on current information provided by the Administrator of the Universal Service Administrative Company (USAC) and the formula used to determine the number of Lifeline subscribers and ETCs are required to survey. The decrease of 12,402 burden hours has been adjusted due to recalculation of all the burden estimates.

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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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 02/04/2011

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