Bridging the Digital Divide for Low-Income Consumers, Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support
FCC Form 5631 - Lifeline Household Worksheet (June 2023)
Businesses or other for-profit
OMB: 3060-0819
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3060-0819 can be found here: