Service Provider and Billed Entity Identification Number and Contact Information Form

ICR 201807-3060-002

OMB: 3060-0824

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2018-08-24
IC Document Collections
ICR Details
3060-0824 201807-3060-002
Historical Active 201610-3060-004
FCC WCB
Service Provider and Billed Entity Identification Number and Contact Information Form
Extension without change of a currently approved collection   No
Regular
Approved without change 10/31/2018
Retrieve Notice of Action (NOA) 09/05/2018
  Inventory as of this Action Requested Previously Approved
10/31/2021 36 Months From Approved 11/30/2018
26,000 0 26,000
19,500 0 19,500
0 0 0

The Administrator of the universal service support mechanisms must obtain contact and remittance information from service providers participating in the federal universal service High-cost, Low-income, Rural Health Care, and Schools and Libraries programs. The Administrator uses FCC Form 498 to collect service provider name, phone numbers, other contact information, and remittance information from universal service fund participants to enable the Administrator to perform its universal service disbursement functions under 47 CFR Part 54. FCC Form 498 allows fund participants to direct remittance to third parties or receive payments directly from the Administrator.

US Code: 47 USC 254 Name of Law: Communications Act of1934, as amended
   US Code: 47 USC 151-154 Name of Law: Communications Act of 1934, as amended
  
None

Not associated with rulemaking

  83 FR 30175 06/27/2018
83 FR 45128 09/05/2018
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 26,000 26,000 0 0 0 0
Annual Time Burden (Hours) 19,500 19,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    No
    No
No
No
No
Uncollected
Cheryl Callahan 202 418-2320

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/05/2018


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