Information Collection

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

IC 188198 under ICR 201410-3060-006 · OMB 3060-0855.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0855 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 499-A Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q	Form
FCC Form 499A Instructions 10 2 14.docx	Instruction
FCC Form 499Q Instructions 10 2 14.docx	Instruction
FCC Form 499-A Telecommunications Reporting Worksheet - FCC Form 499-A 2015 FCC Form 499-A 2014-10 2 14 p.pdf	Form
FCC Form 499-Q Telecommunications Reporting Worksheet - FCC Form 499-Q 2015 FCC Form 499-Q 2014-10 2 14.pdf	Form

IC Title:

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

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 54.709 47 CFR 54.706 47 CFR 54.711

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 499-A	Telecommunications Reporting Worksheet - FCC Form 499-A	2015 FCC Form 499-A 2014-10 2 14 p.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 499A Instructions 10 2 14.docx	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 499Q Instructions 10 2 14.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 499-Q	Telecommunications Reporting Worksheet - FCC Form 499-Q	2015 FCC Form 499-Q 2014-10 2 14.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	41,650	-3	-5,304	46,957
Annual IC Time Burden (Hours)	247,375	-6	-66,500	313,881
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
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.