Telecommunications Reporting Worksheets and Related Collections

Forms and Documents

Document Name	Status
0855_ss_072710_Final.doc Supporting Statement A	2010-07-28
Vonage Holdings Corp Decision.doc Supplementary Document	2007-08-08
TRS Order.doc Supplementary Document	2007-08-08

IC Document Collections

IC ID	Document Title	Status
188198	FCC Form 499-A, and FCC Form 499-Q, Telecommunications Reporting Worksheets Instruction	Modified

ICR Details

OMB Control No: 3060-0855	ICR Reference No: 201005-3060-004
Status: Historical Active	Previous ICR Reference No: 201002-3060-011
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Telecommunications Reporting Worksheets and Related Collections
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/01/2010
	Date Received in OIRA: 07/28/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2013	36 Months From Approved	09/30/2010
Responses	44,574	0	36,068
Time Burden (Hours)	281,710	0	273,129
Cost Burden (Dollars)	0	0	0

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Abstract: The Federal Communications Commission requires all telecommunications providers and certain other providers of telecommunications, such as providers of interconnected voice over Internet protocol (VoIP) services, to contribute to universal service and telecommunications relay service. Wireless and interconnected VoIP providers are required to contribute based either on their actual interstate end-user gross-billed telecommunications revenues, interim safe harbors, or traffic studies.

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Authorizing Statute(s): US Code: 47 USC 151 Name of Law: null
   US Code: 47 USC 154(i) Name of Law: null
   US Code: 47 USC 154(j) Name of Law: null
   US Code: 47 USC 155 Name of Law: null
   US Code: 47 USC 157 Name of Law: null
   US Code: 47 USC 201 Name of Law: null
   US Code: 47 USC 205 Name of Law: null
   US Code: 47 USC 214 Name of Law: null
   US Code: 47 USC 225 Name of Law: null
   US Code: 47 USC 254 Name of Law: null
   US Code: 47 USC 303(r) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 20993	04/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 40830	07/14/2010
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
FCC Form 499-A, and FCC Form 499-Q, Telecommunications Reporting Worksheets	FCC Form 499-Q, FCC Form 499-A	Telecommunications Reporting Worksheet ,   Telecommunications Reporting Worksheet

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	44,574	36,068	0	0	8,506	0
Annual Time Burden (Hours)	281,710	273,129	0	0	8,581	0
Annual Cost Burden (Dollars)	0	0	0	0	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: The Commission has increased the number of respondents for the FCC Form 499-A from 5,625 to 5,800 respondents based on the actual numbe rof contributing entities for fiscal year 2009. For FCC Form 499-Q, the nubmer of respondents increased from 2,525 to 3,600 based on the actual number of service providers filing the form in 2009. Therefore, the total annual burden has been adjusted from 273,129 to 281,710 hours.

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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]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/28/2010

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