Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 481, 507, 508, 509, and 525

Forms and Documents

Document Name	Status
Form FCC 508 Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481 Form	Unchanged
Multiple Collections Non Substantive Change Request (June 2016) (1).doc Justification for No Material/Nonsubstantive Change	2016-06-24
3060-0986 SS Revision Final 2016.doc Supporting Statement A	2016-04-25

IC Document Collections

IC ID	Document Title	Status
31529	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481 Form	Unchanged
185391	Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481 Other-screenshot	Unchanged

ICR Details

OMB Control No: 3060-0986	ICR Reference No: 201606-3060-026
Status: Historical Active	Previous ICR Reference No: 201604-3060-014
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 481, 507, 508, 509, and 525
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/06/2016
	Date Received in OIRA: 06/24/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	05/31/2019	05/31/2019
Responses	15,333	0	15,333
Time Burden (Hours)	277,089	0	277,089
Cost Burden (Dollars)	0	0	0

---

Abstract: This submission is being made for a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission seeks to change the Instructions to FCC Forms 507, 508, 509 and 525 (3060-0986). The New Address for the Universal Service Administrative Company (USAC), starting July 12, 2016, will be 700 12th Street, NW, Suite 900, Washington, DC 20005. All of the above listed instructions will be updated with the new address. The subject information collection is used to determine the amount of, and eligibility for, high-cost universal service support received by incumbent and competitive eligible telecommunications carriers (ETCs). The Commission is proposing edits to currently approved FCC Form 481 and its instructions to reflect newly adopted information collections. The Commission is also proposing to increase the number of respondents, responses and burden hours to this information collection which are due to the addition of new reporting requirements for recipients of Phase II model-based support, rate-of-return carriers, and rural broadband experiment recipients.

---

Authorizing Statute(s): US Code: 47 USC 201 - 205 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 218 - 220 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 303(r) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 151 - 154 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 405 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 410 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 5960	02/04/2015

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 8065	02/17/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 24094	04/25/2016
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	FCC 508, FCC 509, FCC 525, FCC 505	Projected Annual Common Line Revenue Requirement ,   Annual Common Line Actual Cost Data Collection ,   Unbundled Network Elements Reporting ,   Connect America Phase II Challenge Process Form
Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481	FCC Form 507	Line Count Report

---

ICR Summary 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	15,333	15,333	0	0	0	0
Annual Time Burden (Hours)	277,089	277,089	0	0	0	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: No

Burden Reduction Due to:

Short Statement: The Commission is reporting adjustments to this information collection which are due to the addition of new reporting requirements for recipients of Phase II model-based support, rate-of-return carriers, and rural broadband experiment recipients. For these adjustments, the total number of respondents increased from 1,957 to 1,977 (+20), the total number of annual responses increased from 12,885 to 15,346 (+2,461), the total annual burden hours increased from 266,868 to 277,167 (10,299). Also, the Commission is also reporting a program change due to the deletion of an outdated requirement. For this program change, the respondents did not change, the total number of annual responses decreased from 15,346 to 15,333 (-13), and the total annual burden hours decreased from 277,167 to 277,089 (-78). In summary, since this information collection was last approved (taking into account both the requested adjustments and program change): the total respondents increased from 1,957 to 1,977 (+20), total annual responses increased from 12,885 to 15,333 (+2,448), and the total annual burden hours increased from 266,868 to 277,089 (+10,221).

---

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: 06/24/2016

---