Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
FCC Form 497 Modified 11977061 5514285 468750 Other-Decription of Application Fields
Other-Description of Lifeline ETC Reimbursement Data Fields
Other-Description of One-Per-Household Worksheet for Lifeline Program
Other-Description of Recertification Form for Lifeline Program
Form FCC 5631 Lifeline Program Household Worksheet
Form FCC 5629 Lifeline Program Application Form
Form FCC 5630 Annual Recertification Form
Instruction
Form FCC 497 Description of Services Requested and Certification - Field Descriptions
FCC Forms 555 and 481 Modified 11977062 5514286 468750 Form FCC 555 Description of Services Requested and Certification - Field Descriptions
Instruction
Other-FCC 481 - Template
Total burden requested under this ICR: 23954123 11028571 937500  
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