Information Collection

Service Provider and Bill Entity Identification Number and Contact Information Form

IC 44158 under ICR 201807-3060-002 · OMB 3060-0824.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0824 can be found here:

Documents and Forms

Document Name Document Type
PRA 3060-0824-498 Instructions 2018.docx Instruction
FCC 498 Service Provider And Billed Entity Identification Number 3060-0824_06_2018_Form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Service Provider and Bill Entity Identification Number and Contact Information Form	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 54.413 47 CFR 54.515 47 CFR 54.611 47 CFR 54.702 47 CFR 54.802 47 CFR 54.902 47 CFR 54.303 47 CFR 54.307 47 CFR 54.301 47 CFR 54.309 47 CFR 54.311 47 CFR 54.407

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			PRA 3060-0824-498 Instructions 2018.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC 498	Service Provider And Billed Entity Identification Number and General Contact Information Form	3060-0824_06_2018_Form.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,000	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: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26,000	26,000
Annual IC Time Burden (Hours)	19,500	19,500
Annual IC Cost Burden (Dollars)	0	0

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.