Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 481, 507, 508, 509, and 525

Forms and Documents

Document Name	Status
Explanation Non Substantive Change 0986 and 0819 2_25_2015 (3).docx Justification for No Material/Nonsubstantive Change	2015-02-25
0986 SS Revision_041514 rev.final.doc.docx Supporting Statement A	2014-04-15
0986 30 day FRN_040414.pdf Supplementary Document	2014-04-04
0986 60 day FRN_120413.pdf Supplementary Document	2014-03-12
0986_NonSubstantiveChangeAbstract_081313.docx Justification for No Material/Nonsubstantive Change	2013-08-13

IC Document Collections

IC ID	Document Title	Status
31529	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481 Other-Sample Letter 1	Unchanged
185391	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481 Other-Excel Spreadsheet template for Rate Floor Data Collection	Modified

ICR Details

OMB Control No: 3060-0986	ICR Reference No: 201502-3060-030
Status: Historical Active	Previous ICR Reference No: 201402-3060-012
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 481, 507, 508, 509, and 525
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/03/2015
	Date Received in OIRA: 02/25/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	05/31/2017	05/31/2017
Responses	13,138	0	13,138
Time Burden (Hours)	265,411	0	265,411
Cost Burden (Dollars)	0	0	0

---

Abstract: This submission is being made as a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission seeks to update FCC Form 481 and the Form 481 Instructions to reflect changes in the form and filing instructions. In its March 2012 supporting statement which was submitted and approved by OMB, the Commission implemented some of the information collections required by this Order, FCC 11-161, but also noted that at a later date it planned to submit additional revisions or new requirements for OMB to review and approval to address other reforms adopted in the Order. This current revision addresses those additional requirements. See the uploaded supporting statement for the specific requirements. Note: There are no changes to FCC Form 525 which is part of this information collection. However, the Commission is requesting OMB approval for a new FCC Form 481, Annual Reporting Form for High-Cost Recipients and other new and modified information collection requirements.

---

Authorizing Statute(s): US Code: 47 USC 151 - 154 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201 - 205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 218 - 220 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 405 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 410 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AJ85	Final or interim final rulemaking	76 FR 73830	11/29/2011

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 72889	12/04/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 18909	04/04/2014
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	FCC 481, FCC 507, FCC 508, FCC 525, FCC 509, FCC Form 481	Carrier Annual Reporting Data Collection Form ,   Interstate Common Line Support Mechanism - Projected Annual Common Line Revenue Requirement Data Collection Form ,   Interstate Common Line Support Mechanism - Annual Common Line Actual Cost Data Collection Form ,   High Cost Support Mechanism - Competitive Carrier Line Count Form ,   Interstate Common Line Support Mechanism - Line Count Report ,   Carrier Annual Reporting Data Collection Form
Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	FCC 525, FCC 507, FCC 508, FCC 509, FCC 481, FCC Form 525, FCC 481, FCC 481	Competitive Carrier Line Count Report ,   Interstate Common Line Support Mechanism - Line Count Report ,   Interstate Common Line Support Mechanism - Projected Annual Common Line Revenue Requirement Data Collection Form ,   Interstate Common Line Support Mechanism - Annual Common Line Actual Cost Data Collection Form ,   High Cost Support Mechanism - Competitive Carrier Line Count Form ,   Carrier Annual Reporting Data Collection Form ,   Carrier Annual Reporting Data Collection Form ,   Carrier Annual Reporting Data Collection Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	13,138	13,138	0	0	0	0
Annual Time Burden (Hours)	265,411	265,411	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/25/2015

---