View Information Collection Request (ICR) Package

OMB Control No: 3060-0824	ICR Reference No: 201606-3060-025
Status: Historical Active	Previous ICR Reference No: 201605-3060-007
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Service Provider and Billed Entity Identification Number and Contact Information Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/06/2016
	Date Received in OIRA: 06/24/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	11/30/2018	11/30/2018
Responses	26,000	0	26,000
Time Burden (Hours)	19,500	0	19,500
Cost Burden (Dollars)	0	0	0

Abstract: This submission is being made for a non-substantive change request to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission seeks to change the Instructions to FCC Form 498 (3060-0824). The New Address for the Universal Service Administrative Company (USAC), starting July 12, 2016, will be 700 12th Street, NW, Suite 900, Washington, DC 20005. The above listed instructions will be updated with the new address. This submission is being made for proposed non-substantive change to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to modify: the accompanying instructions to the FCC Form 498. This submission is being made for proposed non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to update: (i) the FCC Form 498; (ii) the accompanying instructions to the FCC Form 498. The Administrator of the universal service support mechanisms must obtain contact and remittance information from service providers participating in the federal universal service High-cost, Low-income, Rural Health Care, and Schools and Libraries programs. The Administrator uses FCC Form 498 to collect service provider name, phone numbers, other contact information, and remittance information from universal service fund participants to enable the Administrator to perform its universal service disbursement functions under 47 CFR Part 54. FCC Form 498 allows fund participants to direct remittance to third parties or receive payments directly from the Administrator.

Authorizing Statute(s): US Code: 47 USC 254 Name of Law: Communications Act of1934, as amended
US Code: 47 USC 151-154 Name of Law: Communications Act of 1934, as amended

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AF85	Final or interim final rulemaking	79 FR 49160	08/19/2014

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 41041	07/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 59777	10/02/2015
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Service Provider and Bill Entity Identification Number and Contact Information Form	FCC Form 498, FCC Form 498

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	26,000	26,000
Annual Time Burden (Hours)	19,500	19,500
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Cheryl Callahan 202 418-2320

View ICR - OIRA Conclusion