FCC Form 481, 54.313/54.422 Data Collection Form

Lifeline Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support, Connect America Fund

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0819 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 481 FCC Form 481, 54.313/54.422 Data Collection Form Form
0986_FCCForm481Instructions_072613.doc Instruction
0986_FCCForm481Instructions_072613.doc Instruction
FCC Form 481 54.313/54.422 Data Collection Form 0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx Form
FCC Form 481 54.313/54.422 Data Collection Form 0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx Form

Information Collection (IC) Details

IC Title:	FCC Form 481, 54.313/54.422 Data Collection Form	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.313 47 CFR 54.422 47 CFR 54.403 47 CFR 54.405(e)(4) 47 CFR 54.407 47 CFR 54.410(f) 47 CFR 54.416(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 481	54.313/54.422 Data Collection Form	0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx	Yes	Yes	Fillable Fileable Signable
Instruction			0986_FCCForm481Instructions_072613.doc	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 481	54.313/54.422 Data Collection Form	0986_FCCForm481_ExcelSpreadsheet_052213_final.xlsx	Yes	Yes	Fillable Fileable Signable
Instruction			0986_FCCForm481Instructions_072613.doc	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 940	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-940	940
Annual IC Time Burden (Hours)	-2,820	2,820
Annual IC Cost Burden (Dollars)	0	0

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.