Information Collection

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

IC 185391 under ICR 201606-3060-026 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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: Unchanged

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:

table that charts list of 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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	7,667	7,667
Annual IC Time Burden (Hours)	138,545	138,545
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.