View Information Collection (IC)

View Information Collection (IC)

IC Title:	FCC Form 497	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.400-54.707 47 CFR 54

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form 497 Field Descriptions			Lifeline Form 497 Field Descriptions_Final-Clean_7-12-16.docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form 497	Lifeline Worksheet	FCC Form 497 Instructions_Final_7-11-16.docx		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,581,130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	11,978,120	0	-2,292,841	-1,000,000	0	15,270,961
Annual IC Time Burden (Hours)	6,742,206	0	-3,616,251	-673,942	0	11,032,399
Annual IC Cost Burden (Dollars)	468,750	0	0	468,750	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.