Service Provider and Billed Entity Identification Number and Contact Information Form

Forms and Documents

Document Name	Status
3060-0824 SS (2015 final).docx Supporting Statement A	2015-10-02

IC Document Collections

IC ID	Document Title	Status
44158	Service Provider and Bill Entity Identification Number and Contact Information Form Instruction	Modified

ICR Details

OMB Control No: 3060-0824	ICR Reference No: 201510-3060-001
Status: Historical Active	Previous ICR Reference No: 201305-3060-014
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Service Provider and Billed Entity Identification Number and Contact Information Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2015
	Date Received in OIRA: 10/02/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	36 Months From Approved	11/30/2015
Responses	26,000	0	5,000
Time Burden (Hours)	19,500	0	7,500
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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

Citations for New Statutory Requirements: None

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

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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

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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	Service Provider and Bill Entity Identification Number and Contact Information Form

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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	26,000	5,000	0	22,000	-1,000	0
Annual Time Burden (Hours)	19,500	7,500	0	16,500	-4,500	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: The Commission is reporting program changes/increases to the number of respondents, number of responses and annual burden hours to this information collection. Therefore, these program changes made the following increases: the total number respondents increased by 22,000, the total number of responses increased by 22,000 and the total annual burden hours increased by 16,500. These program changes/increases are due to a new respondent pool, Billed Entities, completing and submitting FCC Form 498 for the Schools and Libraries Program. Also, the Commission is reporting adjustments/decreases to the number of respondents, the number of responses and annual burden hours for this collection. The total number of respondents and responses decreased from 5,000 to 4,000 (-1,000) and the total annual burden hours decreased from 7,500 to 3,000 (-4,500). These adjustments/decreases in the total number of respondents and total number of responses are due to the Commission re-evaluating its previous estimates. Because the Commission only accepts electronic filings, this has reduced the amount of time respondents need to complete the filing process, therefore, this has resulted in a decrease in the total annual burden hours for this collection.

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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]? 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

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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: 10/02/2015

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