FCC Form 481, 54.313/54.422 Data Collection Form

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 481 FCC Form 481, 54.313/54.422 Data Collection Form Form
0986_FCCForm481Instructions_072613.doc Instruction
FCC Form 481 54.313/54.422 Data Collection Form 0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx Form

Information Collection (IC) Details

IC Title:	FCC Form 481, 54.313/54.422 Data Collection Form	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.313 47 CFR 54.422 47 CFR 54.403 47 CFR 54.405(e)(4) 47 CFR 54.407 47 CFR 54.410(f) 47 CFR 54.416(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 481	54.313/54.422 Data Collection Form	0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx		Yes	Yes	Fillable Fileable Signable
Instruction			0986_FCCForm481Instructions_072613.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 940	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	940	0	940
Annual IC Time Burden (Hours)	2,820	0	2,820
Annual IC Cost Burden (Dollars)	0	-112,800	112,800

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.