Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Businesses or other for-profit Modified 13438706 3267191 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 13438706 3267191 468750 Form FCC Form 555 Annual Lifeline Eligible Telecommunications Carrier Certification
Form FCC Form 481 Annual Reporting for High-Cost and Low-Income Universal Service Support Recipients
Form and Instruction FCC Form 497 Lifeline Worksheet
Total burden requested under this ICR: 26877412 6534382 937500  
To view an IC, click on IC Title