Lifeline Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support, Connect America Fund

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 481 FCC Forms 555 and 481	Form	New	Available
Form FCC Form 497 FCC Form 497	Form and Instruction	New	Repair queued
Form FCC Form 481 FCC Form 481, 54.313/54.422 Data Collection Form	Form	Removed	Available
Form FCC Form 560 FCC Form 560, Low Income Brodband Pilot Program Reporting Form	Form and Instruction	Removed	Available
Form FCC Form 555 FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form	Form and Instruction	Removed	Available
Form FCC Form 550 FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	Form and Instruction	Removed	Available
Form FCC Form 497 FCC Form 497 and instructions - individuals or households	Form and Instruction	Removed	Available
060-0819 SS Lifeline Revision_FINAL_2015.docx	Supporting Statement A	Uploaded 2015-11-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218853	FCC Forms 555 and 481	Form	New
218852	FCC Form 497	Form and Instruction	New
207916	FCC Form 481, 54.313/54.422 Data Collection Form	Form	Removed
203943	All other reporting, recordkeeping and 3rd party requirements (except items 12a, e, p and q)		Removed
203942	FCC Form 560, Low Income Brodband Pilot Program Reporting Form	Form and Instruction	Removed
203941	FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form	Form and Instruction	Removed
201446	FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	Form and Instruction	Removed
201445	FCC Form 497 and instructions - individuals or households	Form and Instruction	Removed

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 201510-3060-007
Status: Historical Active	Previous ICR Reference No: 201504-3060-018
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Lifeline Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support, Connect America Fund
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: 01/05/2016
	Date Received in OIRA: 11/04/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved	12/31/2016
Responses	30,541,922	0	41,838,920
Time Burden (Hours)	22,064,798	0	24,184,565
Cost Burden (Dollars)	0	0	0

---

Abstract: Eligible Telecommunications carriers (ETCs) are permitted to receive universal service support reimbursement for offering certain services to qualifying low-income customers. On June 18, 2015, the Commission released an FNRPM, Order on Reconsideration, Second R&O, and Memorandum Opinion and Order. See Lifeline Reform and Modernization, et al., WC Docket Nos. 11-42, 09-197, and 10-90, FNRPM, Order on Reconsideration, Second R&O, and Memorandum Opinion and Order, FCC 15-71. In this item, the Commission overhauled the Lifeline program, in light of the realities of the 21st Century communications marketplace, to ensure that it advances the statutory directive for universal service while, at the same time, ensuring that adequate controls are in place as the Commission implements any further changes to the Lifeline program to guard against waste, fraud, and abuse.

---

Authorizing Statute(s): US Code: 47 USC 201-205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 1 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 4(i) 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 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 403 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	80 FR 40923	07/14/2015

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 52474	08/31/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 67738	11/03/2015
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
FCC Form 560, Low Income Brodband Pilot Program Reporting Form	FCC Form 560	Low Income Broadband Pilot Program Reporting Form ,   Low Income Broadband Pilot Program Reporting Form
FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form	FCC Form 550	Low Income Broadband Pilot Program Reimbursement Form
FCC Form 481, 54.313/54.422 Data Collection Form	FCC Form 481	54.313/54.422 Data Collection Form ,   54.313/54.422 Data Collection Form
FCC Form 497 and instructions - individuals or households	FCC Form 497	Lifeline Worksheet
FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form	FCC Form 555	Annual Lifeline Eligibility Telecommunications Carrier Certification Form ,   Annual Lifeline Eligibility Telecommunications Carrier Certification Form
FCC Form 497	FCC Form 497	FCC Form 497
FCC Forms 555 and 481	FCC Form 481, FCC Form 555	FCC Form 481 ,   FCC Form 555
All other reporting, recordkeeping and 3rd party requirements (except items 12a, e, p and q)

---

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	30,541,922	41,838,920	0	-100,868	-11,196,130	0
Annual Time Burden (Hours)	22,064,798	24,184,565	0	-37,955	-2,081,812	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: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: The Commission is reporting program changes (decreases) to the total number of respondents. The total number of respondents decreased by (-100,028) from 41,806,827 to 41,706,799 respondents. The number of annual responses decreased by (-100,868) from 41,838,920 to 41,738,052. Lastly, the total annual burden hours decreased by (-37,955) from 24,184,565 hours to 24,146,610. These decreases are due to the elimination of several information collection requirements because they are no longer applicable to this information collection. Also, the Commission is reporting adjustments (decreases) to the number of respondents, responses, and burden hours with this revised collection. The total number of respondents decreased from 41,706,799 to 28,009,115 (-13,697,684), and the total number of responses decreased from 41,738,052 to 30,541,922 (-11,196,130) and the total burden hours decreased from 24,146,610 to 22,064,798 (-2,081,812). These adjustments/decreases are due to the Commission re-evaluating the previous figures used in this collection.

---

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: 11/04/2015

---