FCC Forms 555 and 481

Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support, Connect America Fund.

⚠️ Notice: This information collection may be referencing outdated material.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
Form FCC Form 555 FCC Forms 555 and 481 Form
FCC Form 481 Instructions - July 2018 5.29.18.docx Instruction
FCC Form 555 Description of Services Requested and Certification - Fi FCC Form 555 - Field Descriptions.docx Form
FCC Form 481 Carrier Annual Reporting Data Collection Form FCC-Form-481.pdf Form

Information Collection (IC) Details

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 555	Description of Services Requested and Certification - Field Descriptions	FCC Form 555 - Field Descriptions.docx	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 481	Carrier Annual Reporting Data Collection Form	FCC-Form-481.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 481 Instructions - July 2018 5.29.18.docx	Yes	Yes	Fillable Printable

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: 8,773,922	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	10,158,894	67	-1,818,235	11,977,062
Annual IC Time Burden (Hours)	5,486,321	67	-28,032	5,514,286
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.