Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0855 can be found here:

Documents and Forms

Document Name Document Type
2021 FCC Form 499-A Instructions.docx Instruction
2021 FCC Form 499-Q Instructions.docx Instruction
FCC Form 499-A Telecommunications Reporting Worksheet 2021 FCC Form 499-A.docx Form
FCC Form 499-Q Telecommunications Reporting Worksheet - Quarterly Filin 2021 FCC Form 499-Q.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 47 CFR 54.706 47 CFR 54.709 47 CFR 54.711

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2021 FCC Form 499-A Instructions.docx	Yes	Yes	Fillable Printable
Form	FCC Form 499-A	Telecommunications Reporting Worksheet	2021 FCC Form 499-A.docx	Yes	Yes	Fillable Fileable Signable
Instruction			2021 FCC Form 499-Q Instructions.docx	Yes	Yes	Fillable Printable
Form	FCC Form 499-Q	Telecommunications Reporting Worksheet - Quarterly Filing for Universal Service Contributors	2021 FCC Form 499-Q.docx	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: 6,900	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	41,250	-400	41,650
Annual IC Time Burden (Hours)	252,025	4,650	247,375
Annual IC Cost Burden (Dollars)	0	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.