Information Collection

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

IC 185391 under ICR 201604-3060-014 · OMB 3060-0986.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0986 can be found here:

Documents and Forms

Document Name Document Type
200 Service Outage Reporting.docx Other-screenshot
400 Number of Complaints per 1000 Customers.docx Other-Screenshot
500 Service Quality Standards and Consumer Protection Rules.docx Other-screenshot
600 Functionality in Emergency Situations.docx Other-screenshot
900 Tribal Lands Reporting.docx Other-screenshot
0986 Instructions FCC Form 505_092513.doc Instruction
1000 Voice and Broadband Service Rate Comparability.docx Other-screenshot
1100 Terrestrial Backhaul.docx Other-screenshot
2005 Price Cap Data.docx Other-screenshot
3060-0986 Clean- Final for PRA- FCC Form 481 Instructions -January 2016-TAPD Edits 4-13-16.docx Instruction
4005 Screen Shot V2.docx Other-screenshot
Copy of Price_Cap_Line_2017_Template +TAPD IATD.xlsm Other-Price Cap Line Template
FCC Form 507 Line Count Report Copy of 507 Form.xls Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	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 54.314 47 CFR 54.320 47 CFR 54.307 47 CFR 54.313(b) 47 CFR 54.202

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshot			200 Service Outage Reporting.docx	Yes	Yes	Fillable Fileable Signable
Other-Screenshot			400 Number of Complaints per 1000 Customers.docx	Yes	Yes	Fillable Fileable Signable
Other-screenshot			500 Service Quality Standards and Consumer Protection Rules.docx	Yes	Yes	Fillable Fileable Signable
Other-screenshot			600 Functionality in Emergency Situations.docx	Yes	Yes	Fillable Fileable Signable
Other-screenshot			900 Tribal Lands Reporting.docx	Yes	Yes	Fillable Fileable Signable
Instruction			0986 Instructions FCC Form 505_092513.doc	Yes	Yes	Fillable Printable
Other-screenshot			1000 Voice and Broadband Service Rate Comparability.docx	Yes	Yes	Fillable Fileable Signable
Other-screenshot			1100 Terrestrial Backhaul.docx	Yes	Yes	Fillable Fileable Signable
Other-screenshot			2005 Price Cap Data.docx	Yes	Yes	Fillable Fileable Signable
Instruction			3060-0986 Clean- Final for PRA- FCC Form 481 Instructions -January 2016-TAPD Edits 4-13-16.docx	Yes	Yes	Fillable Printable
Other-screenshot			4005 Screen Shot V2.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 507	Line Count Report	Copy of 507 Form.xls	Yes	Yes	Fillable Fileable Signable
Other-Price Cap Line Template			Copy of Price_Cap_Line_2017_Template +TAPD IATD.xlsm	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 989	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,667	-6	1,231	6,442
Annual IC Time Burden (Hours)	138,545	-39	5,150	133,434
Annual IC Cost Burden (Dollars)	0	0	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.