Information Collection

High-Cost Universal Service Support

IC 31529 under ICR 201804-3060-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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
1100screen v1 12-21-17 (002).png	Other-Screenshot - Terrestrial Backh
Copy of 200_Service_Outages_Upload_Template (5) (1).xlsm	Other-Template - 200 Service Outages
200screen (002).png	Other-Screenshot - Service Outage Re
400screen (002).png	Other-Screenshot - No. of Complaints
500screen (revised) (002).png	Other-Screenshot - Compliance w/ Ser
600screen (002).png	Other-Screenshot - Functionality in
Copy of 800_Operating_Company_Upload_Template (1).xlsm	Other-Template - Operating Company
800screen (002).png	Other-Screenshot - Operating Compani
900screen (revised) 10-13-17 (002).png	Other-Screenshot - Tribal Lands Repo
1000screen 12-27-17 (002).png	Other-Screenshot - Voice/Broadband S
Copy of 3005-Rate-of-Return-Data-Upload-Template_DRAFT (1).xlsm	Other-Template - Rate of Return Data
4005screen (revised) 10-13-17 (002).png	Other-Screenshot - Rural Broadband E
Copy of 5005_Alaska_Plan_Upload_Template.xlsm	Other-Template - Alaska Plan
5005screen part 1 (ROR ILECs) (002).png	Other-Screenshot
5005screen part 2 (CETCs) (002).png	Other-Screenshot
Carrier Contact Information (002).png	Other-Screenshot - Carrier Contact I
1200screen (002).png	Other-Screenshot - Lifeline Terms an
2005screen (revised) 10-13-17 (002).png	Other-Screenshot - Price Cap Data
Copy of 2018 - 3012B - 4003B Community Anchors (2) (1).xlsm	Other-Template - Reporting Community
3005 (revised - part 1) (002).png	Other-Screenshot - Rate of Return Da
3005 (revised - part 2) (002).png	Other-Screenshot - Rate of Return Da
FCC Form 481 Instructions - July 2018 5.29.18.docx	Instruction
FCC Form 481 Carrier Annual Reporting Data Collection Form FCC Form 481 PDF Template July 2018.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

High-Cost Universal Service 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 54.305(f) 47 CFR 54.314 47 CFR 54.307(b) - (c) 47 CFR 54.307 47 CFR 54.313

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot - Terrestrial Backhaul Reporting			1100screen v1 12-21-17 (002).png	Yes	Yes	Fillable Fileable Signable
Other-Template - 200 Service Outages			Copy of 200_Service_Outages_Upload_Template (5) (1).xlsm	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Service Outage Reporting			200screen (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - No. of Complaints			400screen (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Compliance w/ Service Quality			500screen (revised) (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Functionality in Emergency Situations			600screen (002).png	Yes	Yes	Fillable Fileable Signable
Other-Template - Operating Company			Copy of 800_Operating_Company_Upload_Template (1).xlsm	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Operating Companies			800screen (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Tribal Lands Reporting			900screen (revised) 10-13-17 (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Voice/Broadband Service Rate Comparability			1000screen 12-27-17 (002).png	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 481	Carrier Annual Reporting Data Collection Form	FCC Form 481 PDF Template July 2018.pdf	Yes	Yes	Fillable Fileable Signable
Other-Template - Rate of Return Data			Copy of 3005-Rate-of-Return-Data-Upload-Template_DRAFT (1).xlsm	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Rural Broadband Experiment Data			4005screen (revised) 10-13-17 (002).png	Yes	Yes	Fillable Fileable Signable
Other-Template - Alaska Plan			Copy of 5005_Alaska_Plan_Upload_Template.xlsm	Yes	Yes	Fillable Fileable Signable
Other-Screenshot			5005screen part 1 (ROR ILECs) (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot			5005screen part 2 (CETCs) (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Carrier Contact Info			Carrier Contact Information (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Lifeline Terms and Conditions			1200screen (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Price Cap Data			2005screen (revised) 10-13-17 (002).png	Yes	Yes	Fillable Fileable Signable
Other-Template - Reporting Community Anchors Institutions			Copy of 2018 - 3012B - 4003B Community Anchors (2) (1).xlsm	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Rate of Return Data_part 1			3005 (revised - part 1) (002).png	Yes	Yes	Fillable Fileable Signable
Other-Screenshot - Rate of Return Data_part 2			3005 (revised - part 2) (002).png	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 481 Instructions - July 2018 5.29.18.docx	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: 938

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: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,167	157	7,010
Annual IC Time Burden (Hours)	31,743	-89,549	121,292
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.