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

Document Name	Status
Form FCC Form 5630 Businesses or other for-profit Form	Modified
Form FCC Form 555 Individuals or Households Form	Unchanged
IC 3060-0819 PRA NSC (2.2.26).docx Justification for No Material/Nonsubstantive Change	2026-02-02
IC 3060-0819 PRA NSC (4.2.25).docx Justification for No Material/Nonsubstantive Change	2025-04-02
IC 3060-0819 - SS (SCA Survey)_revised version_2025.docx Supporting Statement A	2025-02-21

IC Document Collections

IC ID	Document Title	Status
218853	Businesses or other for-profit Form	Modified
218852	Individuals or Households Form	Unchanged

ICR Details

OMB Control No: 3060-0819	ICR Reference No: 202602-3060-001
Status: Received in OIRA	Previous ICR Reference No: 202504-3060-001
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/02/2026

	Requested	Previously Approved
Expiration Date	03/31/2028	03/31/2028
Responses	26,878,712	26,878,712
Time Burden (Hours)	6,534,599	6,534,599
Cost Burden (Dollars)	937,500	937,500

---

Abstract: This submission is being made for proposed non-substantive changes to the existing information collection 3060-0819 pursuant to 44 U.S.C. § 3507. This submission seeks to change FCC Forms 5629 and 5630 (in English and Spanish) to reflect updated information on the Federal Poverty Guidelines, allowing for income qualification based on the new poverty thresholds standards for 2026. This submission is being made for proposed non-substantive changes to the existing information collection 3060-0819 pursuant to 44 U.S.C. § 3507. This submission seeks to change FCC Forms 5629 and 5630 to reflect updated information on the Federal Poverty Guidelines, allowing for income qualification based on the new poverty thresholds standards for 2025. 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, program evaluation, and to conduct oversight of the program’s participating eligible telecommunications carriers.

---

Authorizing Statute(s): US Code: 47 USC 151, 154(i), 155 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 1, 4(i), 5 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
   US Code: 47 USC 706 Name of Law: Communications Act of 1996, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AL48	Final or interim final rulemaking	88 FR 84406	12/05/2023

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 80237	10/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 99867	12/11/2024
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Businesses or other for-profit	FCC Form 5631, FCC Form 5630, FCC Form 5629, FCC Form 5630, FCC Form 5629	Lifeline Program Annual Recertification Form ,   Lifeline Household Worksheet ,   Lifeline Program Application Form ,   Lifeline Program Annual Recertification Form ,   Lifeline Program Application Form
Individuals or Households	FCC Form 481, FCC Form 497, FCC Form 555	Annual Lifeline Eligible Telecommunications Carrier Certification ,   Annual Reporting for High-Cost and Low-Income Universal Service Support Recipients ,   Lifeline Worksheet

---

ICR Summary of Burden

	Total Request	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	26,878,712	26,878,712	0	0	0	0
Annual Time Burden (Hours)	6,534,599	6,534,599	0	0	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: No

Burden Reduction Due to:

Short Statement: The Commission is reporting program changes to this information collection to reflect the revision to require providers of services to survivors provide responses to the Safe Connections Act Survey. The total number of respondents increased by 1,300 (from 25,110,068 to 25,111,368 respondents), the total number of annual responses increased by 1,300 (from 26,877,412 to 26,878,712 responses), and the total annual burden hours increased by 217 (from 6,534,382 to 6,534,599 hours). No adjustments are being reported to this information collection.

---

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

---

Common Form ICR:  No

---

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: 02/02/2026

---