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Federal forms, ICRs, and supporting documents

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FCC Forms 499-A and 499-Q, Telecommunications Reporting Worksheets

IC 188198 under ICR 201312-3060-006 · OMB 3060-0855.

Documents and Forms
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Document Type
Instruction
Instruction
Instruction
Form
Form
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FCC Forms 499-A and 499-Q, Telecommunications Reporting Worksheets WCB
 
No Unchanged
 
Mandatory
 
47 CFR 54.706 47 CFR 54.711 47 CFR 1.47 47 CFR 54.709

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 0855_FCC499Q_Instructions_090413.doc Yes Yes Fillable Fileable Signable
Form FCC Form 499-Q Telecommunications Reporting Worksheet - Quarterly Filing for Universal Service Contributors 0855_FCCForm 499Q_090413(clean).doc Yes Yes Fillable Fileable Signable
Form FCC Form 499-A 2013 Telecommunications Reporting Worksheet (Reporting 2012 Revenues) 0855_Attach1_FCCForm499-A_(CLEAN VERSION)_011413.doc Yes Yes Fillable Fileable Signable
Instruction 0855_Attach2_FCCForm 499-A Instructions (CLEAN VERSION)_011413.doc Yes Yes Fillable Fileable Signable
Instruction 0855_FCC499A Instructions_final_022813.docx Yes Yes Fillable Fileable Signable

Economic Development Business and Industry Development

 

8,183 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 46,957 0 0 0 0 46,957
Annual IC Time Burden (Hours) 313,881 0 0 0 0 313,881
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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