Individuals or Households

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

Documents and Forms

Document Name Document Type
Form FCC Form 555 Individuals or Households Form
FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Cert FCC Form 555 - Annual Lifeline Eligible Telecommunications Carrier Certification (June 2023).pdf Form
FCC Form 481 Annual Reporting for High-Cost and Low-Income Universal FCC Form 481 - Overview of FCC Form 481 (July 2022).pdf Form
FCC Form 497 Lifeline Worksheet FCC-Form-497 - Latest.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Individuals or Households	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 64.2010 47 CFR 64.6400-64.6409

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 555	Annual Lifeline Eligible Telecommunications Carrier Certification	FCC Form 555 - Annual Lifeline Eligible Telecommunications Carrier Certification (June 2023).pdf	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 481	Annual Reporting for High-Cost and Low-Income Universal Service Support Recipients	FCC Form 481 - Overview of FCC Form 481 (July 2022).pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 497	Lifeline Worksheet	FCC-Form-497 - Latest.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: FCC/WCB - 1, Lifeline Program	FR Citation: 86 FR 11526

Number of Respondents: 12,555,684	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,439,356	650	13,438,706
Annual IC Time Burden (Hours)	3,267,299	108	3,267,191
Annual IC Cost Burden (Dollars)	468,750	0	468,750

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.