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FCC Forms 555 and 481
Lifeline Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support, Connect America Fund
OMB: 3060-0819
IC ID: 218853
OMB.report
FCC
OMB 3060-0819
ICR 201711-3060-002
IC 218853
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:
2024-06-10 - Revision of a currently approved collection
2024-03-19 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FCC 555
FCC Forms 555 and 481
Form
FCC-Form-481-Instructions 8_9.pdf
Instruction
FCC-Form-481-Template 8_9.pdf
Other-FCC 481 - Template
FCC 555 Description of Services Requested and Certification - Fi
3060-0819 Lifeline Form 555 Field Descriptions_Clean 042717.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FCC Forms 555 and 481
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 54.101
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FCC 555
Description of Services Requested and Certification - Field Descriptions
3060-0819 Lifeline Form 555 Field Descriptions_Clean 042717.docx
Yes
Yes
Fillable Fileable Signable
Instruction
FCC-Form-481-Instructions 8_9.pdf
Yes
Yes
Fillable Printable
Other-FCC 481 - Template
FCC-Form-481-Template 8_9.pdf
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:
FCC/WCB "Lifeline Program"
FR Citation:
82 FR 38686
Number of Respondents:
10,047,179
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
11,977,062
0
0
312,830
0
11,664,232
Annual IC Time Burden (Hours)
5,514,286
0
0
-559,790
0
6,074,076
Annual IC Cost Burden (Dollars)
468,750
0
0
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.