OMB 3060-0233
[Month] 2025
Estimated time per response: 4 hours
Not yet approved by OMB
FCC Form 509, Connect America Fund-Broadband Loop Support Actual Cost and Revenue Data Collection
Information to be Submitted to Online Portal
(Note: This is a representative description of the information to be collected via the online portal and is not intended to be a visual representation of what each applicant will see).
Item Number |
Field Description |
1 |
Carrier Study Area Code |
2 |
Carrier Study Area name |
3 |
Data period (specify years) |
4 |
Annual common line costs for the reporting period |
5 |
Annual consumer broadband-only loop costs for the reporting period
|
6 |
Annual SLC revenues for the reporting period |
7 |
Average monthly broadband-only loops |
8 |
Average monthly broadband-only loops *12* $42
|
9 |
Lesser of annual consumer broadband-only loop costs or average monthly broadband-only loops *12* $42 |
10 |
Blended average of consumer broadband-only rates charged during time period pursuant to Section 69.132 |
11 |
Apply 11 and 8 |
12 |
Annual consumer broadband-only revenues for the reporting period (provide the greater of 12 or 10) |
13 |
Annual special access surcharges for the reporting period
|
14 |
Annual line port costs in excess of basic analog service for the reporting period
|
15 |
Contact name
|
16 |
Contact telephone number (including area code)
|
17 |
Contact email address
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jonathan Lechter |
File Modified | 0000-00-00 |
File Created | 2025-09-30 |