DRAFT – NOT FOR PUBLIC USE
Not Approved by OMB
TRS Fund Provider Form Jan 2025 Version
OMB Control Number 3060-0463
Estimated Average Burden Hours Per Response: 10.0 hours
Interstate TRS Fund
Annual Provider Data Request
Filing Instructions
PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS
The Federal Communications Commission (FCC) is authorized under the Communications Act of 1934, as amended, to collect the information the TRS Administrator, Rolka Loube, requests in this form. If Rolka Loube, as the TRS Administrator believes there may be a violation or a potential violation of a FCC statute, regulation, rule or order, your certification may be referred to the Federal, state, or local agency responsible for investigating, prosecuting, enforcing, or implementing the statute, rule, regulation, or order. In certain cases, the information in your certification may be disclosed to the Department of Justice or a court or adjudicative body when a) the FCC; or b) any employee of the FCC; or c) the United States Government is a party of a proceeding before the body or has an interest in the proceeding.
We have estimated that this collection of information will take 10.0 hours annually. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and review and complete the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project (3060-0463). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. We will also accept your PRA comments if you send an e-mail to [email protected].
You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0463.
THIS NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PUBLIC LAW 93- 579, DECEMBER 31, 1974, 5 U.S.C. SECTION 552a(e)(3) AND THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507.
Please see the table below for a list of acronyms and explanations.
Acronym |
Definition |
FCC |
Federal Communications Commission |
TRS |
Interstate Telecommunications Relay Service |
TTY |
Teletype/Text Telephone |
STS |
Speech-to-Speech |
CTS |
Captioned Telephone Service |
RSDR |
Relay Service Data Request |
VRS |
Video Relay Service |
IP CTS |
Internet Protocol Captioned Telephone Service |
CA |
Communications Assistant |
ASR |
Automatic Speech Recognition |
URD |
User Registration Database |
CPE |
Customer Premise Equipment |
IRM |
Information Rights Management |
On November 19, 2007, the FCC released a Report and Order (FCC 07-186) adopting new cost recovery methodologies for the various forms of TRS. The Order also clarified the nature and extent to which certain categories of costs are compensable from the TRS Fund1.
As administrator of the TRS Fund, Rolka Loube oversees the collection and analysis of cost and demand data. Rolka Loube has created a form and associated instructions for the submission of the annual filing data. If you have questions regarding these instructions, please submit a ticket to the Rolka Loube Provider Help Desk.
The purpose of this document is to aid each TRS provider in its submission of accurate annual cost and demand data consistent with the FCC's compensable cost categories to Rolka Loube.
In accordance with 47 CFR § 64.604(c)(5)(iii)(D), TRS providers requesting reimbursement from the TRS Fund must submit historical, projected, and state-related information requested by the administrator to determine TRS Fund revenue requirements and payments.
Providers that held a contract to provide TTY, STS, and/or CTS during the prior calendar year Reporting Period will need to fill out the following worksheets: Flat Rate Revenue, Per Minute Revenue, Add. Revenue Paid to Provider, and Costs Paid By Provider.
If a provider has established a service contract to provide TTY, STS, and/or CTS at a flat rate (independent of the number of minutes serviced) during the prior calendar year Reporting Period, use the Flat Rate Revenue worksheet to report the revenue. The amounts provided should include only those revenues associated with provisioning TTY, STS, and/or CTS. Revenue associated with programs such as outreach, administration, billing, or other revenue not reported elsewhere should be reported on the Add. Revenue Paid to Provider worksheet. See Flat Rate Revenue for instructions on completing this worksheet.
If a provider has established a service contract to provide TTY, STS, and/or CTS at a per minute rate (dependent on the number of minutes serviced) during the prior calendar year Reporting Period, use the Per Minute Revenue worksheet to report the revenue. The amounts provided should include only those revenues associated with provisioning TTY, STS, and/or CTS. Additional revenues associated with programs such as outreach, administration, billing, or other should be reported on the Add. Revenue Paid to Provider worksheet. See Per Minute Revenue for instructions on completing this worksheet.
If a provider received revenue during the prior calendar year Reporting Period for programs that support TTY, STS, and/or CTS in addition to those associated with provisioning the services, use the Add. Revenue Paid to Provider worksheet to report the revenue. See Additional Revenue Paid to Provider for instructions on completing this worksheet.
If a provider has incurred costs for translational or non-translational services that have not been reimbursed through a state TRS program during the prior calendar year Reporting Period, use the Costs Paid by Provider worksheet to report the expense. See Costs Paid By Provider for instructions on completing this worksheet.
For IP-based TRS providers, response to the Relay Service Data Request (RSDR) is required under 47 CFR § 64.604(c)(5)(D)(1). Providers that held a certification to provide IP Relay, IP CTS, and/or VRS for the prior calendar year (2024) must complete the following worksheets.
For all IP-based TRS, using the Demand worksheet, the provider must report the most recent two years' historical (2023 – 2024) compensated demand and two years of projected (2025 – 2026) compensable demand. New providers that do not have two years of historical compensated demand must report historical demand from when they began offering services. For IP CTS providers, demand associated with CA-generated captions and ASR-generated captions must be reported separately. See Demand for instructions on completing this worksheet.
TRS providers must complete a worksheet for each service provisioned: VRS Expenses, IP Relay Expenses, IP CTS CA Expenses, and/or IP CTS ASR Expenses.
Providers must report two years of historical (2023 – 2024) and two years of projected (2025 – 2026) expenses associated with provisioning the TRS.
Start-up costs incurred by a provider to prepare to begin provisioning TRS must be separately identified and reported as F.5. Capital investment and D.5., Annual Depreciation Associated with Capital Investment. Start-up costs include the costs of organizing and incorporating the company including legal costs, original cost of government franchises and patent rights, and other intangible property having a life of more than one year to be used in connection with the Company provisioning TRS. Start-up costs must be amortized.2
For IP CTS providers, costs/expenses associated with CA-generated captions and ASR-generated captions must be reported separately. For costs/expenses, identify if they were directly assigned or allocated. If allocated, please provide a detailed description of the allocation method, the resulting allocation percentages, and an example of the allocation method for each service.
Descriptions of required expense categories/subcategories are provided in the following tables:
A. Annual Recurring Fixed/Semi-Variable Expenses
B. Annual Recurring Variable Expenses
C. Annual Administrative Expenses
D. Annual Depreciation/Amortization Associated with Capital Investment
E. Other Expenses
F. Capital Investments
See Expenses for instructions on completing these worksheets.
Additional information is required in the Appendix section to support the expenses provided on these worksheets. See Filing Appendix Instructions for instructions to complete the Appendix data requirement.
Cost Subcategory |
Description |
|
1 |
Rent |
Annual payments solely for land and/or buildings rented for the provision of the TRS, including the rent for office space used by administrative employees. |
2 |
Utilities |
Allowable expenses associated with land and buildings used for the provision of the TRS, such as electric power, natural gas, water, sewage, fuel, T1, trunk lines, Internet connectivity, Internet service, and VoIP service. Telephone service expenses, such as center toll-free numbers, and local and foreign exchange should be included here along with allowable related E911, and numbering expenses linked to assigning and porting. Please see appendix instructions for reporting total, allowable, and non-allowable E911 and numbering expenses. |
3 |
Building Maintenance |
Expenses for maintenance and repair used for the provision of the TRS, including maintenance of office buildings. |
4 |
Property Tax |
Real estate taxes paid on property owned and used for the provision of the TRS. |
5 |
Furniture |
Lease or rental expenses associated with furnishings used for the provision of the TRS. |
6 |
Office Equipment |
Lease or rental expenses associated with office equipment used for the provision of the TRS. |
Cost Subcategory |
Description |
|
1 |
Finance/Accounting |
Expenses incurred in providing accounting and financial services.
|
2 |
Legal/Regulatory |
Expenses incurred for legal and regulatory services.
|
3 |
Engineering |
Expenses incurred in the general day-to-day engineering operation of the TRS telecommunications plant and/or IP network. |
4 |
Research and Development |
Expenses incurred for research and development required to meet mandatory minimum standards and, for VRS, IP CTS, and IP Relay, enhanced functional equivalency (e.g. geolocation for 911 calls, direct-dial access to 988 and N11, unified phone number for relay and SMS messaging, integration of VRS with videoconferencing, interoperability improvements, and seamless access across VRS, IP CTS, and IP Relay providers to VRS, IP CTS, and IP Relay from home, work, or mobile devices. Expense to develop proprietary user devices or software or any non-TRS product or service are not recoverable.3 Please see appendix instructions for reporting total R&D expenses. |
5 |
Operations Support |
Expenses that ensure the sustainability of service including troubleshooting, customer service, and technical support. |
6 |
Human Resources |
Expenses incurred in performing personnel administration activities, including recruiting, hiring, forecasting, planning, training, scheduling, counseling employees, and reporting. |
7 |
Billing |
Administrative expenses of rating and providing billing information to interexchange and local exchange carriers, if not recovered by other means. |
8 |
Contract Management |
Expenses of managing activities required by the provider contracts. |
9 |
Risk Management |
Management expenses associated with workers’ compensation, payments in settlement of accident and damage claims, insurance premiums against losses and damages, sickness, and disability payment, etc. |
10 |
Other Corporate Overhead |
Other administrative expenses of providing TRS. All costs over $10,000 should be itemized. Indirect overhead costs are not reasonable costs of providing TRS Fund supported services. Appropriate overhead costs are those costs that are directly related to and directly support the provision of TRS Fund supported relay service(s). Indirect overhead costs may not be allocated to TRS Fund supported services by an entity that provides other services not supported by the TRS Fund based on the percentage of the entity’s revenues that are derived from the provision of TRS. Backup support is required for all expenses listed in this category. |
11 |
Enforcement Action Expenses |
Separately identify each expense category incurred to comply with an FCC enforcement action or Consent Decree, as not attributable to the cost of providing TRS and not recoverable from the TRS Fund. Itemized expenses include civil penalties, criminal penalties, fines, recoveries to the Fund, other direct Fund payments, identified in an FCC enforcement action as not being allowable cost. |
Cost Subcategory |
Description |
|
1 |
Furniture & Fixtures |
Depreciation expense on furniture and/or fixtures. |
2 |
Telecommunication Expenses |
Depreciation expense associated with capitalized expenses of telecommunication equipment including switching equipment, operator services equipment, cable and wire facilities, transmission equipment, and power equipment. |
3 |
Leasehold |
Amortization of leasehold improvements – improvements which become a permanent part of a building, like walls or carpeting. |
4 |
Software |
Amortization expenses associated with capitalized software. |
5 |
Other Capitalized |
Depreciation expense not accounted for in other categories such as capitalized R&D. |
Cost Subcategory |
Description |
|
1 |
Marketing/Advertising |
Expenses associated with promoting provided services and/or identifying the needs of users, excluding costs associated with providing user incentives. |
2 |
Outreach |
Expenses associated with educating the public about TRS. |
3 |
Subcontractor |
Third-party costs associated with two or more individuals providing IP-based TRS for the provider under a single standard contract. Please see appendix instructions for reporting and allocating subcontractor costs to the appropriate categories and subcategories. Subcontractor costs not properly allocated shall be treated as non-allowable costs. |
4 |
License fees paid to a third party |
Expenses associated with payments to a third-party for use of technology, software, and/or equipment. |
5 |
License fees paid to an affiliate |
Expenses associated with payments to an affiliate for use of technology, software, and/or equipment. |
6 |
Software Expenses |
Expenses related to in-house development/maintenance of software and/or license fees associated with commercial software must be used to meet mandatory minimum standards and allow for the provision of functionally equivalent service. Please see appendix instructions for reporting total software expenses including software for off-the-shelf CPE and software expenses. |
7 |
Customer Premises Equipment Expenses |
Expenses associated with hardware and software, including installation, maintenance, and testing4 as well as expenses associated with software installed on proprietary CPE. |
8 |
Other Expenses |
Any expenses associated with provisioning TRS that have not been reported previously. Explanation of costs must be included within the appendix. |
Cost Subcategory |
Description |
|
1 |
Furniture & Fixtures |
Year-end net book value of capital investment on furniture and/or fixtures. |
2 |
Telecommunication Expenses |
Year-end net book value of capital investment associated with telecommunication equipment including switching equipment, operator services equipment, cable and wire facilities, transmission equipment, and power equipment. |
3 |
Leasehold |
Year-end net book value of capital investments for leasehold improvements – improvements which become a permanent part of a building, like walls or carpeting. |
4 |
Software |
Year-end net book value of capital investments associated with capitalized software. |
5 |
Other Capitalized |
Year-end net book value of capital investments not accounted for in other categories. |
For all IP-based TRS that require the use of a CA, the provider must report two years of historical (2023 – 2024) and two years of projected (2025 – 2026) values for the following categories:
Average Monthly Full-Time CAs
Average Monthly Part-Time CAs – Reported on full-time equivalent basis
Total CA Managers
Total Non-CA Relay Staff
Total Yearly Number of Available Interpreting Minutes
Total Yearly Number of Session Minutes
Total Yearly Number of Conversation Minutes
Occupancy Percentage calculated as yearly total of session minutes divided by yearly total of available interpreting minutes.
Utilization Percentage calculated as yearly total of conversation minutes divided by yearly total of session minutes.
See CA Stats for instructions to complete the data requirement.
To ensure the security of the confidential cost and demand data, Rolka Loube has implemented IRM on the Annual Filing forms. IRM restricts the access of the form to individual email addresses and can be granted at read and write levels. If additional access is required to complete the filing, please submit an access request ticket to the Rolka Loube Provider Help Desk.
To complete the Filing Information worksheet, follow the steps below:
Select provider name. If the appropriate value is not available, submit a ticket to the Rolka Loube Provider Help Desk.
Enter the preparer’s name, contact email address, and contact telephone number.
Select the year for the filing period.
Enter the name and title of the senior officer attesting to the completion and accuracy of the filing.
Enter the signature and signature date of the senior officer.
To complete the Filing Notes worksheet, include the following information:
A summary of any changes, activities, and/or improvements since the prior year filing, or that are planned for the upcoming program year, which caused or may cause substantial changes in cost and/or demand data.
Examples include, but are not limited to, implementation of ASR; changes in the use of subcontractors; etc.
The methodology used to determine the forecasted minutes for the projected years.
Any characteristics unique to a particular service or changes in the relay services marketplace
Examples include, but are not limited to, addition or loss of a state contract; increases in volumes due to specific outreach program; decreases in call volume due to use of internet or other TRS technology or new, time saving technology; changes in volumes due to abnormal weather conditions; etc.
Failure to provide a sufficient explanation for a projected substantial change may result in the TRS Fund administrator, the Commission, or both, not giving credit, or only giving partial credit, for such a change.
To complete the Flat Rate Revenue worksheet, follow the steps below:
For each of the services, indicate if the flat rate contract covers the provision of TTY, STS, and/or CTS minutes.
Enter the start and end date associated with the flat rate contract.
Select Annual if the amount is for the entire contract period or Monthly if the amount reported is per each month of the contract period.
Enter the flat rate amount, rounding to the nearest dollar.
Enter the TTY, STS, and/or CTS conversation minutes for services provisioned during the contract period.
To complete the Per Minute Revenue worksheet, follow the steps below:
Select the jurisdiction associated with the per minute contract.
Select the service (TTY, STS, or CTS) covered by the per minute contract.
Enter the start and end date associated with the per minute contract.
Indicate whether the per minute rate applies to reported session minutes or conversation minutes.
Enter the per minute rate.
Enter the conversation and session minutes serviced during the contract period.
To complete the Add. Revenue Paid to Provider worksheet, follow the steps below:
Select the jurisdiction associated with the additional revenue.
For each of the services, indicate if the additional revenue covers the programs for TTY, STS, and/or CTS.
Enter the start and end date associated with the additional revenue’s contract.
Select Annual if the amount is for the entire contract period or Monthly if the amount reported is per each month of the contract period.
Enter the additional revenue amount, rounding to the nearest dollar.
Select a program that best describes the revenue reported.
If Other is selected, enter a description of the program covered by the revenue.
To complete the Costs Paid by Provider worksheet, follow the steps below:
For each of the services, indicate if the cost covers the programs for TTY, STS, and/or CTS.
Enter the start and end date associated with the cost
Select Annual if the amount is for the entire contract period or Monthly if the amount reported is per each month of the contract period.
Enter the cost amount, rounding to the nearest dollar.
Enter a description of the cost.
To complete the Demand worksheet, enter the historical compensated conversation minutes and projected compensable monthly demand minutes for each service provided during the years indicated.
To complete the service Expenses worksheets, for each service provided, supply historical and projected expenses during the years indicated. For descriptions of expense categories/subcategories, see the Service Expenses section.
To complete the CA Stats worksheet, for each service provided, enter two years of historical (2023 – 2024) and two years projected (2025 – 2026) data for each of the following categories:
Average Monthly Full-Time CAs
Average Monthly Part-Time CAs – Reported on full-time equivalent basis.
Total CA Managers
Total Non-CA Relay Staff
Total Yearly Number of Available Interpreting Minutes
Total Yearly Number of Session Minutes
Total Yearly Number of Conversation Minutes
Provider calculated Occupancy Percentage
Provider calculated Utilization Percentage
Data may be entered on the worksheet, or a document may be embedded in the worksheet. Additional worksheets may be added as needed. For each expense category, include a worksheet that documents all allocations. All relationships and equations/formulas in the worksheets should be active. Equations/formulas must not reference links to external documents. The data should reflect two historical and two projected years.
To assist with reviewing the required appendix data, please provide the worksheet name/file name next to the description of each required appendix component on the Appendix Instruction worksheet. The required data are described in the following tables.
A. Recurring Fixed/Semi-Variable Expenses |
|
1 |
For expenses that are provisioned jointly with the expenses for other telecommunications relay services, provide the following: |
2 |
Separately identify allowable and non-allowable5 costs associated with E911 and numbering for IP-based TRS for each of the following categories: |
|
B. Recurring Variable Expenses (Direct TRS Operation Expenses) |
|
1 |
Provide, by call center, at-home status, job descriptions/titles and compensation including salaries and benefits and average number of staff within the categories below. The schedule should link to the historical and projected amounts reported. Please provide staffing numbers as full-time or FTE. |
|
|
2 |
Provide contracts for sole proprietor and individually operated LLCs offering CA and interpreter services |
3 |
Provide expenses exceeding $10,000 including vendor, description of goods/services, and expense amounts for the following categories: |
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C. Administrative Expenses |
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1 |
Provide job descriptions/titles and compensation including salaries and benefits and average number of staff within the following categories: |
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2 |
Provide a schedule of expenses exceeding $10,000 including vendor, description of goods/services, and expense amounts for the following categories: |
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3 |
Provide a detailed cost breakdown of the following operations support costs |
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4 |
Describe all TRS related engineering including projects that are ongoing, planned, recently completed, and cancelled, and to the extent applicable, explain the purpose and intended outcome for the provision of TRS and how the individual projects preserve or enhance functional equivalency. VRS, IP CTS, and IP Relay providers should submit the following details:
|
|
5 |
Describe all TRS related research and development including projects that are ongoing, planned, recently completed, and cancelled, and to the extent applicable, explain the purpose and intended outcome for the provision of TRS and how the individual projects preserve or enhance functional equivalency. VRS providers should submit the following details:
For each R&D project listed above, indicate whether the project affected the provider’s platform, software or CPE, and the relationship of the particular project to a specific service that the provider offers. |
|
6 |
Provide other expenses incurred in rating and providing billing information to local exchange and interexchange carriers if not recovered by other means. |
|
7 |
Provide a list of officers, senior management, and directors. For individuals listed: |
|
a |
Provide a schedule that shows how their compensation has been assigned between TRS and non-TRS. For TRS, provide a schedule that shows how their compensation has been assigned between Interstate and Intrastate TRS. For interstate Fund supported services, identify separately expenses assigned to each service. |
|
b |
Indicate if their compensation has been included in any other cost category/subcategory. |
|
8 |
Provide cost details of all Compliance obligations to include Consent Decrees, Judgments, or other compliance action that resulted in payments to the Fund, the U.S. Treasury, or a Third-Party, to be broken down into separate amounts (e.g., fines, penalties, Fund reimbursements, and any other compliance obligations). |
|
|
a |
Provide details of compliance plans for each, where applicable, and any additional costs associated with maintaining adherence to the obligation. |
D. Depreciation Associated with Capital Investment |
|
1 |
Provide the depreciation method and period applied. |
2 |
Explain departures from traditional depreciation methods. |
3 |
Provide a schedule that reports depreciable life, depreciation method, and depreciation expenses by cost subcategory. |
Rolka Loube is using BOX for the secure transmission of files containing confidential cost and demand data. To submit a completed filing, visit BOX.com and log in with your BOX credentials. If you do not have credentials to BOX, please submit a ticket to the Rolka Loube Provider Help Desk. After logging into BOX, you will see a folder for Annual Filings and the option to upload files to this folder.
All forms must be submitted to Rolka Loube on or before February 21, 2025. Non-compliance with the deadline may be considered a violation of 47 CFR § 64.604(c)(5)(D)(1).
All filing submissions must be named 800XXX_2024_Annual_V.xlsx where:
800XXX is the six-digit provider identifier.
V is the single digit version number starting at zero (0) and incrementing by one (1) for each replacement submission.
1 The following Orders changed the mechanism for one or more of the services following the issuance of FCC 07-186: FCC 11-54, FCC 16-25, FCC 17-86, FCC 18-79, & FCC 20-132, FCC 22-48, FCC 23-78, and FCC 24-81.
2 See FCC 07-186, para. 77, 47 C.F.R. 32.2690(a), 47 C.F.R.32.2000(h).
3 FCC 23-78, ¶ 31; FCC 24-81, ¶ 36.
4 FCC 17-86, ¶ 12
5 See FCC 22-48 (IP Relay - ¶¶ 24, 25, pp. 10-11, acquiring-assigning TRS tel. Nos.), and FCC 23-78 (VRS Rates, ¶ 36, p. 18 - assigning-porting NANP tel. Nos. for TRS users; ¶ 38, p. 19 - improving 911 capabilities.
6 FCC 08-151, ¶ 100.
7 Id.
8 FCC 23-78, ¶ 31; FCC 24-81, ¶ 36-37.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Katelyn Wissler |
File Modified | 0000-00-00 |
File Created | 2024-10-28 |