Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Businesses or other for-profit Modified 10051117 4265927 468750 Form FCC Form 5630 Lifeline Annual Recertification Application Form
Form FCC Form 5631 Lifeline Household Worksheet
Individuals or Households Modified 10051118 4265927 468750 Form FCC Form 5629 Lifeline Application Universal Form
Other-Form Change Memo
Other-Template Form 481
Form and Instruction FCC 497 Lifeline Worksheet
Total burden requested under this ICR: 20102235 8531854 937500  
To view an IC, click on IC Title