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FCC Forms 499-A and 499-Q, Telecommunications Reporting Worksheets
Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q
OMB: 3060-0855
IC ID: 188198
OMB.report
FCC
OMB 3060-0855
ICR 201312-3060-019
IC 188198
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0855 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2023-09-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FCC Form 499-A
FCC Forms 499-A and 499-Q, Telecommunications Reporting Worksheets
Form
0855_Attach2_FCCForm 499-A Instructions (CLEAN VERSION)_011413.doc
Instruction
0855_FCC499A Instructions_final_022813.docx
Instruction
0855_FCC499Q_Instructions_090413.doc
Instruction
0855_2014 FCC Form 499-A Instructions (clean)_010114.docx
Instruction
0855_2014 FCC Form 499-Q Instructions (clean)_010114.docx
Instruction
FCC Form 499-A 2013 Telecommunications Reporting Worksheet (Reporting 2
0855_Attach1_FCCForm499-A_(CLEAN VERSION)_011413.doc
Form
FCC Form 499-Q Telecommunications Reporting Worksheet - Quarterly Filin
0855_FCCForm 499Q_090413(clean).doc
Form
FCC 499-A 2014 FCC Form 499-A Telecommunications Reporting Workshe
0855_2014 FCC Form 499-A (clean)_010114.docx
Form
FCC 499-Q 2014 FCC Form 499-Q Telecommunications Reporting Workshe
0855_2014 FCC Form 499-Q (clean)_010114.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FCC Forms 499-A and 499-Q, Telecommunications Reporting Worksheets
Agency IC Tracking Number:
WCB
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
47 CFR 1.47
47 CFR 54.709
47 CFR 54.706
47 CFR 54.711
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
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
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 499-A
2014 FCC Form 499-A Telecommunications Reporting Worksheet (Reporting 2013 Revenues)
0855_2014 FCC Form 499-A (clean)_010114.docx
Yes
Yes
Fillable Fileable Signable
Instruction
0855_2014 FCC Form 499-A Instructions (clean)_010114.docx
Yes
Yes
Fillable Fileable Signable
Form
FCC 499-Q
2014 FCC Form 499-Q Telecommunications Reporting Worksheet Quarterly Filing for Universal Service Contributors
0855_2014 FCC Form 499-Q (clean)_010114.docx
Yes
Yes
Fillable Fileable Signable
Instruction
0855_2014 FCC Form 499-Q Instructions (clean)_010114.docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Business and Industry Development
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8,183
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:
50 %
Approved
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
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.