FCC Forms 555 and 481

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 481 FCC Forms 555 and 481 Form
3060-0819 FCC Form 555 Instructions 2015.docx Instruction
TAPD Edits- FCC Form 481 Instructions Revision 7-15-15 (2) (6).docx Instruction
Price Cap Screenshot 7-6-12 (7).docx Other-Price Cap Screenshot
Copy of Price Cap Line 2024 Template (1).xlsx Other-Price Cap Line 2024 Template
Copy of Price Cap Line 2025 Template (7).xlsx Other-Price Cap Line 2025 Template
FCC Form 555 FCC Form 555 3060-0819 FCC Form 555 2015.docx Form
FCC Form 481 FCC Form 481 0986_FCC Form 481 (2014 Revision)_041514 (14) (3) (1).xlsx Form

Information Collection (IC) Details

IC Title:	FCC Forms 555 and 481	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.313 47 CFR 54.403 47 CFR 54.405(e)(4) 47 CFR 54.222 47 CFR 54.407 47 CFR 54.410(f) 47 CFR 54.416(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 481	FCC Form 481	0986_FCC Form 481 (2014 Revision)_041514 (14) (3) (1).xlsx	Yes	Yes	Fillable Fileable Signable
Other-Price Cap Screenshot			Price Cap Screenshot 7-6-12 (7).docx	Yes	Yes	Fillable Fileable Signable
Other-Price Cap Line 2024 Template			Copy of Price Cap Line 2024 Template (1).xlsx	Yes	Yes	Fillable Fileable Signable
Other-Price Cap Line 2025 Template			Copy of Price Cap Line 2025 Template (7).xlsx	Yes	Yes	Fillable Fileable Signable
Instruction			3060-0819 FCC Form 555 Instructions 2015.docx	Yes	Yes	Fillable Printable
Form	FCC Form 555	FCC Form 555	3060-0819 FCC Form 555 2015.docx	Yes	Yes	Fillable Fileable Signable
Instruction			TAPD Edits- FCC Form 481 Instructions Revision 7-15-15 (2) (6).docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,004,557	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	15,270,961	15,270,961
Annual IC Time Burden (Hours)	11,032,399	11,032,399
Annual IC Cost Burden (Dollars)	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.