State, Local or Tribal Government

High-Cost Universal Service Support

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0986 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 525 State, Local or Tribal Government Form
525 instructions 12.17.20.docx Instruction
525 instructions 12.17.20.docx Instruction
FCC Form 525 UNBUNDLED NETWORK ELEMENTS REPORTING Copy of Form 525 12.17.20.xls Form
FCC Form 525 UNBUNDLED NETWORK ELEMENTS REPORTING Copy of Form 525 12.17.20.xls Form

Information Collection (IC) Details

IC Title:	State, Local or Tribal Government	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 54.308(d) 47 CFR 54.313(f)(4) 47 CFR 54.202 47 CFR 54.320

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			525 instructions 12.17.20.docx		Yes	Yes	Fillable Fileable Signable
Form	FCC Form 525	UNBUNDLED NETWORK ELEMENTS REPORTING	Copy of Form 525 12.17.20.xls		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: 1,025	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,179	799	15	6,365
Annual IC Time Burden (Hours)	26,978	-335	53	27,260
Annual IC Cost Burden (Dollars)	0	0	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.