Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q

Forms and Documents

Document Name	Status
3060-0855_Explanation_of_2022_Non-Substantive_Changes_final .docx Justification for No Material/Nonsubstantive Change	2021-08-30
3060-0855 SS_final version 2020.docx Supporting Statement A	2020-09-15

IC Document Collections

IC ID	Document Title	Status
188198	Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q Instruction	Modified

ICR Details

OMB Control No: 3060-0855	ICR Reference No: 202108-3060-015
Status: Received in OIRA	Previous ICR Reference No: 202008-3060-025
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q
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: 08/30/2021

	Requested	Previously Approved
Expiration Date	11/30/2023	11/30/2023
Responses	41,250	41,250
Time Burden (Hours)	252,025	252,025
Cost Burden (Dollars)	0	0

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Abstract: This submission is being made for proposed non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to modify (i) FCC Form 499-A; (ii) the accompanying instructions to FCC Form 499-A; (iii) FCC Form 499-Q; and (iv) the accompanying instructions to FCC Form 499-Q. On July 1, 2021, the Commission issued a Public Notice seeking comment on the proposed updates (DA 21-785). In response to the Public Notice, three stakeholders suggested modifications to the Commission’s proposed changes, which Commission staff propose to implement. The Federal Communications Commission (Commission) requires telecommunications carriers and other providers of telecommunications to contribute to the universal service fund and other funds. Contribution revenue data, as well as other information, are reported by carriers on FCC Forms 499-A (annual) and 499-Q (quarterly). Accompanying these forms are instructions on how to report revenue.

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Authorizing Statute(s): US Code: 47 USC 205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 159 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 151 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 155 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 157 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 225 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 303(r) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 616 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154(j) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154(i) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 620 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 40287	07/06/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 57859	09/16/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Telecommunications Reporting Worksheets and Related Collections, FCC Forms 499-A and 499-Q	FCC Form 499-A, FCC Form 499-Q	Telecommunications Reporting Worksheet ,   Telecommunications Reporting Worksheet - Quarterly Filing for Universal Service Contributors

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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	41,250	41,250	0	0	0	0
Annual Time Burden (Hours)	252,025	252,025	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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 adjustments to this information collection. The number of respondents has increased from 6,700 to 6,900, the total annual responses decreased from 41,650 to 41,250 and accordingly burden hours are being adjusted from 247,375 hours to 252,025 hours, a difference of an additional 4,650 hours annually as a result of the number of entities affected and based on the Commission’s historical experience with contributor reporting. There are no program changes.

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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.     No

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.     No

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

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Common Form ICR:  No

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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: 08/30/2021

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