Information Collection

FCC Forms 555 and 481

IC 218853 under ICR 201704-3060-017 · OMB 3060-0819.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:

Documents and Forms

Document Name Document Type
3060-0819 Lifeline Form 555 Field Descriptions_Clean 042717.docx Other-Form 555 Field Descriptions
3060-0819 FCC Form 481 Instructions_Final_7-12-16.docx Instruction
Copy of 3060-0819 FCC Form 481 Template_Final_7-12-16.xlsx Other-FCC 481 Template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FCC Forms 555 and 481	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.101

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form 555 Field Descriptions	3060-0819 Lifeline Form 555 Field Descriptions_Clean 042717.docx	Yes	Yes	Fillable Fileable Signable
Instruction	3060-0819 FCC Form 481 Instructions_Final_7-12-16.docx	Yes	Yes	Fillable Printable
Other-FCC 481 Template	Copy of 3060-0819 FCC Form 481 Template_Final_7-12-16.xlsx	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: 10,267,665	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,664,232	2,689,388	-3,003,276	11,978,120
Annual IC Time Burden (Hours)	6,074,076	1,391,836	-2,059,966	6,742,206
Annual IC Cost Burden (Dollars)	468,750	0	0	468,750

Documents for IC

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.