Sections 54.400 - 54.707, Lifeline Assistance (Lifeline) Connection Assistance (Link-Up) Reporting Worksheet and Instructions

Forms and Documents

Document Name	Status
Form FCC 497 FCC Form 497 Form and Instruction	Removed
Form FCC Form 497 FCC Form 497 and instructions - individuals or households Form and Instruction	New
0819_ss_041112_revised_FINAL.doc Supporting Statement A	2012-04-12
0819_OMBlettersigned_030612.pdf Supplementary Document	2012-03-06
0819_nonsubsantivechange abstract_082311.docx Justification for No Material/Nonsubstantive Change	2011-08-23
0819_Cert and Verif Letter_082311.doc Supplementary Document	2011-08-23

IC Document Collections

IC ID	Document Title	Status
31116	FCC Form 497 Form and Instruction	Removed
201446	FCC Form 497 and instructions - business or other for profit entities	New
201445	FCC Form 497 and instructions - individuals or households Form and Instruction	New
198317	Resolution of Duplicative Lifeline Claims	Removed
198315	Certification of Income Eligibility Upon Enrollment	Removed
196138	Verification of Continued Eligibility	Removed
185378	Section 54.417, Lifeline Recordkeeping	Removed
185376	Certification of Income Eligibility Upon Enrollment	Removed

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 201203-3060-002
Status: Historical Active	Previous ICR Reference No: 201108-3060-019
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Sections 54.400 - 54.707, 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: Emergency	Approval Requested By: 03/30/2012
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/13/2012
	Date Received in OIRA: 03/09/2012
Terms of Clearance: Information collection request updated to remove the following information collections from this request: the temporary address confirmation and recertification (47 C.F.R. § 54.410(g) and the portion of 47 C.F.R § 54.405(e)(4) relating to temporary address de-enrollment) and the biennial audit requirement (47 C.F.R. § 54.420(a)). FCC may re-submit these removed collections for OMB review at a later date after further consideration. OMB approval is granted for all other parts of this information collection submitted in this request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	6 Months From Approved	08/31/2014
Responses	36,025,860	0	280,450
Time Burden (Hours)	21,102,135	0	61,386
Cost Burden (Dollars)	0	0	0

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Abstract: The Commission adopted FCC 12-11, the Lifeline Reform Report and Order, which adopts rules which are intended to take immediate action to address potential waste, fraud,and abuse of the Universal Service low income program. Furthermore, in the Commission's attempt to reduce the number of information collections, we have removed and consolidated all low-income requirements into this submission. Upon OMB approval, the Commission will voluntarily discontinue OMB Control Number 3060-0774 so there is no duplication of reporting, recordkeeping and/or third party disclosure requirements.

Emergency Justfication: The Commission is seeking emergency processing of this revised ICR because it is critical to the prevention of waste, fraud and abuse of the Universal Service Fund (USF or Fund). Among other things, FCC 12-11, Lifeline Reform Report and Order, adopts rules to eliminate waste and inefficiency, increase accountability, and transition the Fund from supporting standalone telephone service to broadband. The reforms adopted substantially strengthen protections against waste, fraud, and abuse; improve program administration and accountability; improve enrollment and consumer disclosures; and constrain the growth of the program in order to reduce the burden on all who contribute to the Fund. The Commission has set a budget target of $200 million in waste in 2012, which is dependent on certain rules going into effect as soon as possible.

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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	77 FR 12952	03/02/2012

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 13319	03/06/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FCC Form 497 and instructions - business or other for profit entities
FCC Form 497 and instructions - individuals or households	FCC Form 497	Lifeline Worksheet
Resolution of Duplicative Lifeline Claims
Certification of Income Eligibility Upon Enrollment
Section 54.417, Lifeline Recordkeeping
Verification of Continued Eligibility
FCC Form 497	FCC 497	Lifeline and Link Up Worksheet (and Instructions)
Certification of Income Eligibility Upon Enrollment

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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	36,025,860	280,450	0	35,745,410	0	0
Annual Time Burden (Hours)	21,102,135	61,386	0	1,555,509	19,485,240	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: Changing Regulations

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

Burden Reduction Due to: Cutting Redundancy

Short Statement: The Commission is reporting a program change increase of 21,040,749 hours due to the proposed changes in the Lifeline program. Since the previous submission to the OMB, the number of ETCs has decreased from 1,400 to approximately 940; the number of Lifeline subscribers increased significantly to 13.5 million (the last submission estimated 250,000 subscribers in federal default states).

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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: 03/09/2012

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