FCC Form 497 and instructions - individuals or households

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

OMB: 3060-0819

IC ID: 201445

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

FCC Form 497 and instructions - individuals or households WCB
 
No Removed
 
Required to Obtain or Retain Benefits
 
47 CFR 54.400 - 54.707 47 CFR 54.202 47 CFR 54.410(f) 47 CFR 54.416(b) 47 CFR 54.422(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FCC Form 497 Lifeline Worksheet 0819_FCC497_090412.docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

940 0
   
Individuals or Households
 
   35 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 0 -11,280 0 11,280
Annual IC Time Burden (Hours) 0 0 0 -28,200 0 28,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy