Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q

ICR 201701-3060-004

OMB: 3060-0855

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2017-01-05
Justification for No Material/Nonsubstantive Change
2016-06-24
Supplementary Document
2016-01-25
Supplementary Document
2016-01-25
Supplementary Document
2016-01-25
Supplementary Document
2016-01-25
Justification for No Material/Nonsubstantive Change
2016-01-25
Justification for No Material/Nonsubstantive Change
2015-02-25
Supporting Statement A
2014-10-02
IC Document Collections
ICR Details
3060-0855 201701-3060-004
Historical Active 201606-3060-024
FCC WCB
Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/23/2017
Retrieve Notice of Action (NOA) 01/05/2017
  Inventory as of this Action Requested Previously Approved
12/31/2017 12/31/2017 12/31/2017
41,650 0 41,650
247,375 0 247,375
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. This submission seeks to update (i) FCC Form 499-A; (ii) the accompanying instructions to FCC Form 499-A; (iii) FCC Form 499-Q; and (iv) the accompanying instructions to FCC Form 499-Q. On October 29, 2013, the Commission issued a Public Notice seeking comment on the proposed revisions (DA 16-1269). 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 FCC Form 499-A and Instructions (3060-0855) and FCC Form 499-Q and Instructions (3060-0855). 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. The above listed forms and instructions will be updated with the new address. This submission is to make a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission seeks to modify: (i) the FCC Form 499-A; (ii) the accompanying instructions to the FCC Form 499-A; (iii) the FCC Form 499-Q; and (iv) the accompanying instructions to the FCC Form 499-Q. This submission is to make a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission submission seeks to change the FCC Form 499-A Instructions. The Federal Communications Commission (Commission) requires telecommunications carriers and other providers of telecommunications to contribute to the Telecommunications Relay Service Fund. Contribution revenue data, as well as other information, are reported by carriers on FCC Forms 499-A (annual) and 499-Q (quarterly). Accompanying these forms are instructions on how to report revenue. This submission is being made as a revision to an existing information collection to the Office of Management and Budget (OMB) in order to obtain the three year approval for the information collection requirements contained in this collection from OMB. The revision requires the forms in this collection to be filed electronically online (currently, the forms may be filed either electronically or on paper). This submission also removes the third party disclosure burden hours, because there are no longer any respondents subject to a third party disclosure requirement. There are no other substantive revisions to the currently approved information collection, other than updates to the number of entities affected and the burden hours based on the Commission's historical experience with the program. Additionally, because the collection expires in October 2014, the Commission is seeking to extend the currently approved requirements contained in the collection.

US Code: 47 USC 159 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 151 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 155 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 157 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 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 225 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 616 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154(j) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154(i) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 620 Name of Law: Communications Act of 1934, as amended
  
None

Not associated with rulemaking

  79 FR 36803 06/30/2014
79 FR 60157 10/06/2014
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 41,650 41,650 0 0 0 0
Annual Time Burden (Hours) 247,375 247,375 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Chin Yoo 202 418-0295 [email protected]

  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.
01/05/2017


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