Service Provider and Bill Entity Identification Number and Contact Information Form

Service Provider and Billed Entity Identification Number and Contact Information Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0824 can be found here:

Documents and Forms

Document Name Document Type
FCC Form 498 Instructions.docx Instruction
PRA 3060-0824-16 Form 498 Instructions 2016 Draft (Jan 2016).docx Instruction
FCC Form 498 Service Provider and Bill Entity Identification Number a FCC Form 498.pdf Form
FCC Form 498 Service Provider and Bill Entity Identification Number a 3060-0824_2016 Form 498 (January 2016).pdf Form

Information Collection (IC) Details

IC Title:	Service Provider and Bill Entity Identification Number and Contact Information Form	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.309 47 CFR 54.307 47 CFR 54.311 47 CFR 54.301 47 CFR 54.407 47 CFR 54.413 47 CFR 54.515 47 CFR 54.611 47 CFR 54.702 47 CFR 54.802 47 CFR 54.902 47 CFR 54.303

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			FCC Form 498 Instructions.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 498	Service Provider and Bill Entity Identification Number and Contact Information Form	FCC Form 498.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			PRA 3060-0824-16 Form 498 Instructions 2016 Draft (Jan 2016).docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 498	Service Provider and Bill Entity Identification Number and General Contact Information Form	3060-0824_2016 Form 498 (January 2016).pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26,000	26,000
Annual IC Time Burden (Hours)	19,500	19,500
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.