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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.