Bridging the Digital Divide for Low-Income Consumers, Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 5629 Lifeline Program Application Form	Form	Modified	Available
Form FCC Form 5631 Lifeline Household Worksheet	Form	Modified	Available
Form FCC Form 5630 Lifeline Annual Recertification Application Form	Form	Modified	Available
Form FCC Form 5630 Businesses or other for-profit	Form	Modified	Repair queued
Form FCC Form 497 Lifeline Worksheet	Form and Instruction	Modified	Available
Form FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Certification	Form	Modified	Available
Form FCC Form 555 Individuals or Households	Form	Modified	Repair queued
3060-0819 - SS (2023 Revision)_April.docx	Supporting Statement A	Uploaded 2023-04-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218853	Businesses or other for-profit	Form	Modified	Lifeline Program Application Form
218853	Businesses or other for-profit	Form	Modified	Lifeline Household Worksheet
218853	Businesses or other for-profit	Form	Modified	Lifeline Annual Recertification Application Form
218853	Businesses or other for-profit	Form	Modified
218852	Individuals or Households	Form and Instruction	Modified	Lifeline Worksheet
218852	Individuals or Households	Form	Modified	Annual Lifeline Eligible Telecommunications Carrier Certification
218852	Individuals or Households	Form	Modified
218852	Individuals or Households	Other-Template Form 481	Modified

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 202303-3060-015
Status: Historical Active	Previous ICR Reference No: 202302-3060-002
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Bridging the Digital Divide for Low-Income Consumers, Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/08/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/04/2023
Terms of Clearance: OMB approves this collection with the following terms of clearance: For the requirement that ETCs notify affected subscribers in writing about new substantive restrictions and ineligibility, the FCC must provide at least 30 days after the publication of the tool (that will allow Lifeline service providers to determine whether: (1) a subscriber residing on Tribal lands resides in a rural area, or (2) if a subscriber who lives on rural, Tribal lands currently receives service from a non-facilities-based provider), for ETCs to comply with this notification requirement.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved	06/30/2023
Responses	26,877,404	0	20,102,235
Time Burden (Hours)	6,534,374	0	8,531,854
Cost Burden (Dollars)	937,500	0	937,500

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Abstract: This information collection covers the Commission’s Lifeline program. The Lifeline program is part of the Commission’s universal service efforts and provides qualifying low-income subscribers subsidies to support connectivity services. This collection allows the Commission to collect information necessary for program enrollment and to conduct oversight of the program’s participating eligible telecommunications carriers.

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Authorizing Statute(s): US Code: 47 USC 1, 4(i), 5 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r), 403, 1302 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 706 Name of Law: Communications Act of 1996, as amended
   US Code: 47 USC 151, 154, 155 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201, 205, 214, 219-220, 254 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 4179	01/24/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 19953	04/04/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Businesses or other for-profit	FCC Form 5630, FCC Form 5631, FCC Form 5629	Lifeline Annual Recertification Application Form ,   Lifeline Household Worksheet ,   Lifeline Program Application Form
Individuals or Households	FCC Form 555, FCC Form 497	Annual Lifeline Eligible Telecommunications Carrier Certification ,   Lifeline Worksheet

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ICR Summary of Burden

table that charts list of burden

	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	26,877,404	20,102,235	0	6,775,169	0	0
Annual Time Burden (Hours)	6,534,374	8,531,854	0	-1,997,480	0	0
Annual Cost Burden (Dollars)	937,500	937,500	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: The Commission is reporting program changes to this information collection to update the numbers associated with the collection and to reflect the full launch of the National Verifier in all states and territories. The total number of respondents increased by 6,774,289 (from 18,335,775 to 25,110,064 respondents), the total number of annual responses increased by 6,775,169 (from 20,102,235 to 26,877,404 responses), and the total annual burden hours decreased by –1,997,480 (from 8,531,854 to 6,534,374 hours).

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/04/2023

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