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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.