Information Collection

Individuals or Households

IC 218852 under ICR 202602-3060-001 · OMB 3060-0819.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 555 Individuals or Households	Form
Form FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Certification Individuals or Households	Form
Form FCC Form 481 Annual Reporting for High-Cost and Low-Income Universal Service Support Recipients Individuals or Households	Form
Form FCC Form 497 Lifeline Worksheet Individuals or Households	Form and Instruction
FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Cert FCC Form 555 - Annual Lifeline Eligible Telecommunications Carrier Certification (June 2023).pdf	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 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
FCC Form 497 Lifeline Worksheet FCC-Form-497 - Latest.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

WCB

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.6400-64.6409 47 CFR 64.2010

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 555	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 481	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 497	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	13,439,356	13,439,356
Annual IC Time Burden (Hours)	3,267,299	3,267,299
Annual IC Cost Burden (Dollars)	468,750	468,750

Documents for IC

table that charts IC Documents
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.

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