Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Businesses or other for-profit Modified 13438702 3267187 468750 Form FCC Form 5630 Lifeline Annual Recertification Application Form
Form FCC Form 5631 Lifeline Household Worksheet
Form FCC Form 5629 Lifeline Program Application Form
Individuals or Households Modified 13438702 3267187 468750 Form FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Certification
Other-Template Form 481
Form and Instruction FCC Form 497 Lifeline Worksheet
Total burden requested under this ICR: 26877404 6534374 937500  
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