Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
All other reporting, recordkeeping and 3rd party requirements (except items 12a, e, p and q) Unchanged 41765759 23129335 0
FCC Form 481, 54.313/54.422 Data Collection Form New 940 2820 112800 Form FCC Form 481 54.313/54.422 Data Collection Form
Instruction
FCC Form 497 and instructions - individuals or households Unchanged 11280 28200 0 Form and Instruction FCC Form 497 Lifeline Worksheet
FCC Form 550, Low Income Broadband Pilot Program Reimbursement Form Unchanged 40 23 0 Form and Instruction FCC Form 550 Low Income Broadband Pilot Program Reimbursement Form
FCC Form 555, Annual Lifeline Eligible Telecommunications Carrier Certification Form Unchanged 940 14100 0 Form and Instruction FCC Form 555 Annual Lifeline Eligibility Telecommunications Carrier Certification Form
FCC Form 560, Low Income Brodband Pilot Program Reporting Form Unchanged 50000 1014000 0 Form and Instruction FCC Form 560 Low Income Broadband Pilot Program Reporting Form
Total burden requested under this ICR: 41828959 24188478 112800  
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