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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC 497 Lifeline and Link Up Worksheet (and Instructions)	Form and Instruction	Unchanged	Available
0819_nonsubsantivechange abstract_082311.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2011-08-23	Available
0819_Cert and Verif Letter_082311.doc	Supplementary Document	Uploaded 2011-08-23	Available
SS Part B- 0819.doc	Supporting Statement B	Uploaded 2011-06-28	Available
SS Part A- 0819.doc	Supporting Statement A	Uploaded 2011-06-28	Available
Sample Size Table for Part B.doc	Supplementary Document	Uploaded 2011-06-28	Repair queued
0819_Cert and Verif Letter_020411.doc	Supplementary Document	Uploaded 2011-02-04	Available
0819_FCC Form 497 and Instructions_062708 final.xls	Supplementary Document	Uploaded 2008-06-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31116	FCC Form 497	Form and Instruction	Unchanged	Lifeline and Link Up Worksheet (and Instructions)
198317	Resolution of Duplicative Lifeline Claims		Unchanged
198315	Certification of Income Eligibility Upon Enrollment		Unchanged
196138	Verification of Continued Eligibility		Unchanged
185378	Section 54.417, Lifeline Recordkeeping		Unchanged
185376	Certification of Income Eligibility Upon Enrollment		Unchanged

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 201108-3060-019
Status: Historical Active	Previous ICR Reference No: 201106-3060-017
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: 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: 08/30/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/24/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	08/31/2014	08/31/2014
Responses	280,450	0	280,450
Time Burden (Hours)	61,386	0	61,386
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 Commission issued an order (FCC 11-97) that adopts a final rule (Duplicate Payments Order), rel. June 21, 2011 clarifying that qualifying low-income consumers may receive no more than a single Lifeline benefit. We also require eligible telecommunications carriers upon notification from the Universal Service Administrative Company (USAC) to de-enroll subscribers that are receiving multiple benefits in violation of that rule.

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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:
3060-AF85	Final or interim final rulemaking	76 FR 38040	06/29/2011

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 16482	03/23/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 38175	06/29/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

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

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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	280,450	280,450	0	0	0	0
Annual Time Burden (Hours)	61,386	61,386	0	0	0	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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 08/24/2011

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