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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
3060-0986 SS Revision (final 2015).doc	Supporting Statement A	Uploaded 2015-07-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31529	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	Other-Sample Letter 1	Modified
185391	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	Other-Data Definitions	Modified

ICR Details

OMB Control No: 3060-0986	ICR Reference No: 201507-3060-008
Status: Historical Active	Previous ICR Reference No: 201502-3060-030
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/02/2015
	Date Received in OIRA: 07/15/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	05/31/2017
Responses	12,885	0	13,138
Time Burden (Hours)	266,868	0	265,411
Cost Burden (Dollars)	0	0	0

---

Abstract: The subject information collection is used to determine the amount of, and eligibility for, high-cost universal service support received by incumbent and competitive eligible telecommunications carriers (ETCs). The Commission is proposing to merge currently approved Connect America Phase I and Phase II information collections from OMB Control number 3060-1188 into this control number. The Commission is also proposing edits to currently approved FCC Form 481 and its instructions to reflect this merge. Finally, the Commission is proposing to reduce the number of respondents to Connect America Phase I incremental reporting and certification 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-AF85	Final or interim final rulemaking	78 FR 48622	08/09/2013

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 23548	04/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 41498	07/15/2015
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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 - 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
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 ,   High Cost Support Mechanism - Competitive Carrier Line Count Form ,   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 ,   Carrier Annual Reporting Data Collection Form ,   Carrier Annual Reporting Data Collection Form ,   Carrier Annual Reporting Data Collection Form

---

ICR Summary of Burden

table that charts list 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	12,885	13,138	0	0	-253	0
Annual Time Burden (Hours)	266,868	265,411	0	0	1,457	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: The Commission is reporting adjustments to this information collection which are due to the consolidation of the information collection requirements contained in OMB Control Number 3060-1188 into this collection and also the Commission made adjustments to its previously approved estimates. Therefore, the respondents increased from 1,857 to 1,957 (100), the total annual responses decreased from 13,185 to 12,885 (253) and the total annual burden hours increased from 265,411 to 266,868 (1,457). There are no program changes.

---

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: 07/15/2015

---