Service Provider and Billed Entity Identification Number and Contact Information Form

ICR 201610-3060-004

OMB: 3060-0824

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2016-10-12
Justification for No Material/Nonsubstantive Change
2016-06-24
Justification for No Material/Nonsubstantive Change
2016-05-16
Justification for No Material/Nonsubstantive Change
2016-03-11
Supporting Statement A
2015-10-02
IC Document Collections
ICR Details
3060-0824 201610-3060-004
Historical Active 201606-3060-025
FCC WCB
Service Provider and Billed Entity Identification Number and Contact Information Form
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/13/2016
Retrieve Notice of Action (NOA) 10/12/2016
  Inventory as of this Action Requested Previously Approved
11/30/2018 11/30/2018 11/30/2018
26,000 0 26,000
19,500 0 19,500
0 0 0

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 FCC Form 498 (3060-0824). The Commission inadvertently omitted the Universal Service Administrative Company's (USAC) new address on FCC Form 498. The updated address is 700 12th Street, NW, Suite 900, Washington, DC 20005.

US Code: 47 USC 151-154 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of1934, as amended
  
None

3060-AF85 Final or interim final rulemaking 79 FR 49160 08/19/2014

  80 FR 41041 07/14/2015
80 FR 59777 10/02/2015
No

  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 26,000 26,000 0 0 0 0
Annual Time Burden (Hours) 19,500 19,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Cheryl Callahan 202 418-2320

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/12/2016


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