Lifeline and Link Up Reform and Modernization, Advancing Broadband Availability Through Digital Literacy Training and FCC Forms 481, 497, 550, 555 and 560

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 481 54.313/54.422 Data Collection Form	Form	Modified	Available
Form FCC Form 560 Low Income Broadband Pilot Program Reporting Form	Form and Instruction	Modified	Available
Form FCC Form 555 Annual Lifeline Eligibility Telecommunications Carrier Certification Form	Form and Instruction	Modified	Available
Form FCC Form 550 Low Income Broadband Pilot Program Reimbursement Form	Form and Instruction	Modified	Available
Form FCC Form 497 Lifeline Worksheet	Form and Instruction	Modified	Available
0819_FCC Form 560_090412.doc	Supplementary Document	Uploaded 2013-10-30	Available
0819 Lifeline Form 555 Instructions_102413.docx	Supplementary Document	Uploaded 2013-10-30	Repair queued
0819 Lifeline Form 555 Updated_101313.docx	Supplementary Document	Uploaded 2013-10-30	Available
0819_FCC Form 550_090412.doc	Supplementary Document	Uploaded 2013-10-30	Repair queued
FCC Form481_ExcelSpreadsheet_052213_final.xlsx	Supplementary Document	Uploaded 2013-10-30	Available
0819_FCC Form 481 Instructions_072613.doc	Supplementary Document	Uploaded 2013-10-30	Available
0819_FCC Form 497_090412.docx	Supplementary Document	Uploaded 2013-10-30	Available
0819_Non_Substantive Changes_072613.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2013-07-25	Repair queued
0819 SS_102213 Final.doc	Supporting Statement A	Uploaded 2013-10-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207916	FCC Form 481, 54.313/54.422 Data Collection Form	Instruction	Modified
207916	FCC Form 481, 54.313/54.422 Data Collection Form	Form	Modified	54.313/54.422 Data Collection Form
203943	All other reporting, recordkeeping and 3rd party requirements (except items 12a, e, p and q)		Modified
203942	FCC Form 560, Low Income Brodband Pilot Program Reporting Form	Form and Instruction	Modified	Low Income Broadband Pilot Program Reporting Form
203941	FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form	Form and Instruction	Modified	Annual Lifeline Eligibility Telecommunications Carrier Certification Form
201446	FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	Form and Instruction	Modified	Low Income Broadband Pilot Program Reimbursement Form
201445	FCC Form 497 and instructions - individuals or households	Form and Instruction	Modified	Lifeline Worksheet

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 201308-3060-005
Status: Historical Active	Previous ICR Reference No: 201307-3060-014
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Lifeline and Link Up Reform and Modernization, Advancing Broadband Availability Through Digital Literacy Training and FCC Forms 481, 497, 550, 555 and 560
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: 12/12/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/30/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	11/30/2015
Responses	41,838,920	0	41,828,959
Time Burden (Hours)	24,184,565	0	24,188,478
Cost Burden (Dollars)	0	0	112,800

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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.

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Authorizing Statute(s): US Code: 47 USC 201-205 Name of Law: Communications Act of 1934, as amended
   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 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
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52528	08/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 63467	10/24/2013
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
All other reporting, recordkeeping and 3rd party requirements (except items 12a, e, p and q)
FCC Form 481, 54.313/54.422 Data Collection Form	FCC Form 481	54.313/54.422 Data Collection Form
FCC Form 497 and instructions - individuals or households	FCC Form 497	Lifeline Worksheet
FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	FCC Form 550	Low Income Broadband Pilot Program Reimbursement Form
FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form	FCC Form 555	Annual Lifeline Eligibility Telecommunications Carrier Certification Form
FCC Form 560, Low Income Brodband Pilot Program Reporting Form	FCC Form 560	Low Income Broadband Pilot Program Reporting Form

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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	41,838,920	41,828,959	0	9,961	0	0
Annual Time Burden (Hours)	24,184,565	24,188,478	0	-3,913	0	0
Annual Cost Burden (Dollars)	0	112,800	0	-112,800	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: Changing Forms

Short Statement: The program changes that resulted in these burden changes include changes to: (1) the information required on FCC Form 555, consistent with the Commission's rules and orders, that increased the burden; and (2) various changes to other ICs that reduced the burden, and the elimination of the Broadband Pilot Program.

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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: 10/30/2013

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