Information Collection

Connect America Fund - Broadband Loop Support

IC 31529 under ICR 201704-3060-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form FCC 481 Carrier Annual Reporting Data Collection Form Connect America Fund - Broadband Loop Support	Form
Copy of 200_Service_Outages_Upload_Template (5) (1).xlsm	Other-Service outages - Template
Copy of 700_Voice_Pricing_Upload_Template (1).xlsm	Other-Voice Pricing - Template
Copy of 710_Broadband_Pricing_Upload_Template (1).xlsm	Other-Broadband Pricing - Template
Copy of 800_Operating_Company_Upload_Template (1).xlsm	Other-Operating Company-Template
Copy of 2018 - 3012B - 4003B Community Anchors (2) (1).xlsm	Other-Community Anchors-Template
Copy of 3005-Rate-of-Return-Data-Upload-Template_DRAFT (1).xlsm	Other-Rate of Return Data-Template
Copy of Line 2005 Screen Shot updated 3-17-17.xlsx	Other-Line 2005 - Screen Shot
Copy of Price_Cap_Line_2025_Template (1) (1).xlsm	Other-Price Cap_line 2025_Template
Copy of RBE_Line_4004A_Deployed_Locations (2).xlsm	Other-Line 4004A_Deployed Locations
FCC Form 481 Instructions - July 2017 Updated 3-17-17 Clean.docx	Instruction
Copy of Price_Cap_Line_2024_Template (2) (1).xlsm	Other-Price Cap Line 2024 - Template
200screen.png	Other-200 Screenshot
300screen.png	Other-300 Screenshot
400screen.png	Other-400 Screenshot
600screen.png	Other-600 Screenshot
500screenmodified.png	Other-500 Screenshot
700screen.png	Other-700 Sreenshot
710screen.png	Other-710 Screenshot
800screen.png	Other-800 Screenshot
900screen.png	Other-900 Screenshot
1000screen.png	Other-1000 Screenshot
1100screen.png	Other-1100 Screenshot
1200screen.png	Other-1200 Screenshot
3005 screen option 1 part1.png	Other-3005 Screenshot Option 1, Part
3005 screen part2.png	Other-3005 Part 2 Screenshot
4005screenpart1.png	Other-4005 Part 1 Screenshot
4005screenpart2.png	Other-4005 Part 2 Screenshot
3005 screen option 2 part1.png	Other-3005 Screenshot Option 2, Part
3005 screen option 3 part1.png	Other-3005 Screenshot Option 3, Part
FCC 481 Carrier Annual Reporting Data Collection Form FCC Form 481 PDF 3.15.17 Revised.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Connect America Fund - Broadband Loop Support

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 36.311 47 CFR 54.313 47 CFR 54.305(f) 47 CFR 54.314 47 CFR 54.315(a) 47 CFR 54.307(b) - (c) 47 CFR 54.422 47 CFR 54.307

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Service outages - Template		Yes	Yes	Fillable Fileable Signable
Other-Voice Pricing - Template		Yes	Yes	Fillable Fileable Signable
Other-Broadband Pricing - Template		Yes	Yes	Fillable Fileable Signable
Other-Operating Company-Template		Yes	Yes	Fillable Fileable Signable
Other-Community Anchors-Template		Yes	Yes	Fillable Fileable Signable
Other-Rate of Return Data-Template		Yes	Yes	Fillable Fileable Signable
Other-Line 2005 - Screen Shot		Yes	Yes	Fillable Fileable Signable
Other-Price Cap_line 2025_Template		Yes	Yes	Fillable Fileable Signable
Other-Line 4004A_Deployed Locations -Template		Yes	Yes	Fillable Fileable Signable
Instruction		Yes	Yes	Fillable Fileable Signable
Form	FCC 481	Yes	Yes	Fillable Fileable Signable
Other-Price Cap Line 2024 - Template		Yes	Yes	Fillable Fileable Signable
Other-200 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-300 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-400 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-600 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-500 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-700 Sreenshot		Yes	Yes	Fillable Fileable Signable
Other-710 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-800 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-900 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-1000 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-1100 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-1200 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-3005 Screenshot Option 1, Part 1		Yes	Yes	Fillable Fileable Signable
Other-3005 Part 2 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-4005 Part 1 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-4005 Part 2 Screenshot		Yes	Yes	Fillable Fileable Signable
Other-3005 Screenshot Option 2, Part 1		Yes	Yes	Fillable Fileable Signable
Other-3005 Screenshot Option 3, Part 1		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 974

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,010	-44	7,054
Annual IC Time Burden (Hours)	121,292	-15,935	137,227
Annual IC Cost Burden (Dollars)	0	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.

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