C0*1; PUBLIC NOTICE
Federal Communications Commission
44 12 St., s.w.
Washington, D.C. 20554
News Media Information 202/ 418-0500
Internet: http://www.fcc.gov
TTY: 1-888-835.5322
DA 13-1865
Released: September 6, 2013
WIRELINE COMPETITION BUREAU SEEKS COMMENT ON PROPOSED CHANGES TO
LIFELINE FCC FORM 555 AND ACCOMPANYING INSTRUCTIONS
WC Docket No. 11-42
Comment Date: October 7, 2013
Pursuant to 44 U.S.C. § 3507 of the Paperwork Reduction Act (PRA) of 1995, the Wireline
competition Bureau (Bureau) is revising existing collection 3060-0819.' The Bureau seeks comment on
proposed revisions to the Annual Lifeline Eligible Telecommunications Carrier (ETC) Certification Form,
FCC Form 555, and accompanying instructions. The revised FCC Form 555 must be filed by ETcs by
January 31, 2014. On the form, ETcs must provide the results of their subscriber recertification process,
results of de-enroliments from non-usage, and the required annual Lifeline program ETC officer
certifications. The proposed revisions to the FCC Form 555 include the following modifications:
Administrative and Stylistic Changes: In several instances, wording in the FCC Form
555 and the instructions was revised for clarification purposes, without changing the
substance;
Section 2: Requires ETCs to report the number of subscribers claimed on their February
FCC Form 497 for the current FCC Form 555 calendar year that were initially enrolled
during that calendar year (e.g., subscribers claimed on the February 2013 Form 497 that
were originally enrolled in 2013).
• Section 3: Requires the ETCs to report the percentage of de-enrolled subscribers;
• Section 4: Requires an ETCs to identify whether it is subj ect to the requirement to de-
enroll subscribers for non-usage in compliance with Section 54.407; and
Web Pages: Hyperlinks were revised as appropriate within the instructions.
Pursuant to sections 1.415 and 1.419 of the Commission's rules, 47 CFR § § 1.415, 1.419,
interested parties may file comments and reply comments on or before the dates indicated on the first
page of this document. Comments may be filed using the Commission's Electronic Comment Filing
System (ECFS). See Electronic Filing of Documents in Rulemaking Proceedings, 63 FR 24121 (1998).
'See 60-Day PRA Notice for Collection 3060-0819, 78 Fed. Reg. 52528 (Aug. 23, 2013).
• Electronic Filers: Comments may be filed electronically using the Internet by accessing the
ECFS: http://fjallfoss.fcc.gov/ecfs2/.
• Paper Filers: Parties who choose to file by paper must file an original and one copy of each
filing. If more than one docket or rulemaking number appears in the caption of this proceeding,
filers must submit two additional copies for each additional docket or rulemaking number.
Filings can be sent by hand or messenger delivery, by commercial overnight courier, or by first-
class or overnight U.S. Postal Service mail. All filings must be addressed to the Commission's
Secretary, Office of the Secretary, Federal Communications Commission.
o All hand-delivered or messenger-delivered paper filings for the Commission's Secretary
must be delivered to FCC Headquarters at 445 12th St., SW, Room TW-A325,
Washington, DC 20554. The filing hours are 8:00 a.m. to 7:00 p.m. All hand deliveries
must be held together with rubber bands or fasteners. Any envelopes and boxes must be
disposed of before entering the building.
o Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority
Mail) must be sent to 9300 East Hampton Drive, Capitol Heights, MD 20743.
o U.S. Postal Service first-class, Express, and Priority mail must be addressed to 445 12th
Street, SW, Washington DC 20554.
• People with Disabilities: To request materials in accessible formats for people with disabilities
(Braille, large print, electronic files, audio format), send an e-mail to fcc504@fcc.gov or call the
Consumer & Governmental Affairs Bureau at 202-418-0530 (voice), 202-418-0432 (tty).
The proceeding this Notice initiates shall be treated as a "permit-but-disclose" proceeding in
accordance with the Commission's exparte rules.2 Persons making exparte presentations must file a
copy of any written presentation or a memorandum summarizing any oral presentation within two
business days afler the presentation (unless a different deadline applicable to the Sunshine period applies).
Persons making oral cx parte presentations are reminded that memoranda summarizing the presentation
must (1) list all persons attending or otherwise participating in the meeting at which the exparte
presentation was made, and (2) summarize all data presented and arguments made during the
presentation. If the presentation consisted in whole or in part of the presentation of data or arguments
already reflected in the presenter's written comments, memoranda or other filings in the proceeding, the
presenter may provide citations to such data or arguments in his or her prior conunents, memoranda, or
other filings (specifying the relevant page and/or paragraph numbers where such data or arguments can be
found) in lieu of summarizing them in the memorandum. Documents shown or given to Commission
staff during cx parte meetings are deemed to be written cx parte presentations and must be filed
consistent with rule 1.1206(b). In proceedings governed by rule 1.49(f) or for which the Commission has
made available a method of electronic filing, written cx parte presentations and memoranda summarizing
oral exparte presentations, and all attachments thereto, must be filed through the electronic comment
filing system available for that proceeding, and must be filed in their native format (e.g., .doc, .xml, .ppt,
2See47C.F.R. § 1.l200etseq.
searchable .pdf). Participants in this proceeding should familiarize themselves with the Commission's ex
parte rules.
For further information, please contact Anita Patankar-Stoll, Telecommunications Access Policy
Division, Wireline Competition Bureau at (202) 418-7400 or TTY (202) 418-0484, or Anita.Patankar-
Stoll@fcc.gov.
-FCC-
FCC Form 555 Revisions Pending 0MB Approval
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Annual Lifeline Eligible Telecommunications Carrier Certification Form
All carriers must complete all or portions of all sections
Form must be submitted to USAC and filed with the Federal Communications Conmiission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31s1 (Annually)
State
(An Eligible Telecommunications Carrier (ET) must provide a cci tijIcation form for each state in which it provides Lifeline sei vice)
Study Area Code(s) (SAC)
Holding Company Name(s)
ETC
Marketing or Other Branding Name(s)
Affiliated ETCs (include names and SACs, al/ac/i
additional sheets f necessary)
allan shall be determined in accordance wit/i section 3(2) of the
fired/v or indirect/i) owns or controls, is owned or controlled by, or
153(2). Sec a/so 47 C.F.R. 76.1200.
[sted iiithe article of incorporation, articles of
who occupies a position specified in the corporate
nt, vice president for operations, vice president for
r is a sole proprietorship, the owner must sign the
Section 1: All ETC$UST COMPLEJE SECTION 1- Initial Cert?fication
I certify that the company listed above has certification procedures in place either to
A) Review income and program-based eligibility documentation prior to enrolling a consumer in the Lifeline
program, and that. to the best of my knowledge, the company was presented with documentation of each
consumer's household income and/or program-based eligibility prior to his or her enrollment in Lifeline or
B) Confirm consumer eligibility by relying upon access to a state database and/or notice of eligibility from the
state Lifeline administrator prior to enrolling a consumer in the Lifeline program.
I am an officer of the company named above. I am authorized to make this certification for the Study Area(s)
listed above. Initial
FCC Form 555
Section 2: All ETCs MUST COMPLETE SECTION 2- Annual Recertjfication
Do not leave empty columns. If an ETC has nothing to report in a column, enter a zero.
A B C
Number of Number of Lines Claimed on Number of Subscribers claimed
Subscribers Claimed on February FCC Form(s) 497 on the February FCC Form(s)
February FCC Form(s) 497 of current Form 555 497 that were initially enrolled in
of current Form 555 calendar year provided to current Form 555 calendar year
calendar year Wirehine Resellers
Initial the certflcations below that apply to your ETC and complete the tables corre.s
on the state, BOTH CERTIFICATIONA AND B MA YAPPLY
A) I certify that the company listed above has procedures in place recertify
Lifeline subscribers, and that, to the best of my knowledge, the compan"
subscribers attesting to their continuing eligibility got Lifeline. Results
officer of the company named above. I am authorized to make this certifi
Initial
B) I certify that the company listed
a subscriber in the Lifelme program
named above. I am authdrized to mi
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to the certfIcation below. Depending
continued eligibility of all of its
tamed signed certifications from all
provided in the chart below I am an
ion for the Study Area(s) listed above
has procedures in place to re-certify consumer eligibility by relying on
prior to enrolling
s are provided in the chart below. I am an officer of the company
certification for the Study Area(s) listed above. Initial
_____
J K L
Number of Subscribers Number Number of Subscribers Who
Whose Eligibility was Subscribers De-Enrolled or De-Enrohled Prior to
Reviewed By State Scheduled to be De-Enrolled as a Recertification Attempt
Administrator Result of Finding of Ineligibility by
ETC Access to Eligibility State Administrator, ETC Access to
Data or by USAC Eligibility Data or USAC
__________________________
OR
C) I certify that my company did not claim federal low income support for any Lifeline subscribers for the February
Form 497 data month for the current Form 555 calendar year. I am an officer of the company named above. I am
authorized to make this certification for the Study Area(s) listed above. Initial _____
FCC Fomi 555
Section 3: ALL ETCS MUST COMPLETE SECTION 3 -Dc-enroll percentage
What is the percentage of subscribers de-enrolled for this ETC?
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M N 0 P=N+0 Q=((p^M)*100)
Number of Number of Subscribers Number of Subscribers Total Number of Percentage of Subscribers
Subscribers Claimed Dc- Enrolled or Dc- enrolled or Subscribers Dc-enrolled De-enrolled or Scheduled to
on February FCC Scheduled to be Dc- Scheduled to be Dc- or Scheduled to be Dc- be Dc-enrolled that were
Form(s) 497 Enrolled as a Result of Enrolled as a Result of enrolled Claimed on the
(From column A) Non-Response or a Finding of Ineligibility February FCC Form(s) 497
__________________________
Ineligibility
__________________________
__________________________
_____________________________
If yes, record the number of subscribers dc-enrolled/br no/I-usage by month in comm S below.
Non-Usage Results Applicable to Pre-Paid
R S
Month
January
_______________________ __________________________________________
February
__________________________________
March
June
October
November
December
Signature Block: ALL ETCS MUST CMPLETE SIGNATURE FIELDS
By signing below, I certify that the company listed above is in compliance with all federal Lifeline certification
procedures. I am an officer of the company named above. I am authorized to make this certification for the Study
Area(s) listed above.
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Signed,
Signature of Officer
Title of Officer
Person Completing this Certification Form
Printed Name of Officer
Date
Contact Phone Number
SAC Name
FCC Fomi 555
Affiliated ETCs
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FCC Form 555 - Filing Instructions
A. Submit to the Universal Service Administrative Company (USAC) via ONE of the
methods below.
1. Submit electronically via USAC's E-File portal. Instructions are
available at www.usac.org.
2. Fax to (202) 776-0080.
3. Email to LiVerificationsusac.org.
4. Mail to USAC - Low hicome Program, Atten
200, Washington, DC 20036.
B. Submit to the FCC via the Electronic
Information Fields:
State
ETC Name(s)
55, 2000 L Street NW, Suite
Filing System in Docket 11-42 at
Enter the corporate name of the ETC submitting the Annual Lifeline Eligible
Telecommunications Carrier Certification Form.
Holding Company Name(s)
Enter the corporate name of the holding company of the ETC.
DBA, Marking or Other Branding Name(s)
Enter all additional names under which the ETC does business, including d/b/a(s) (doing
business as) and the names under which the ETC markets or brands its Lifeline service in the
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state reported on this Form.
Affiliated ETCs
Provide a list of all ETCs that are affiliated with the reporting ETC. Affiliation shall be
determined in accordance with section 3(2) of the Communications Act. That Section defines
"affiliate" as "a person that (directly or indirectly) owns or controls, is owned or controlled
by, or is under common ownership or control with, another person." 47 U.S.C. § 153(2); see
also 47 C.F.R. § 76.1200. Use additional sheets if necessary.
Section 1: ALL ETCs MUST COMPLETE SECTION 1.
Section 1 of the Annual Lifeline Eligible Telecommunications Carrier certification Form
requires an officer of an ETC to certify that the ETC verifies consumer eligibility prior to
enrolling a consumer in Lifeline by either A) reviewing income and program-based eligibility
documentation or B) confirming the consumer's eligibility by relying upon access to a state
database and/or notice of eligibility from the Lifeline administrator.
Section 2: ALL ETCs MUST COMPLETE SECTION 2 AND MUST COMPLETE EITHER
(1) CERTIFICATIONS A AND/OR B OR (2) CERTIFICATION C. ETCs SHOULD ENTER
ZERO INSTEAD OF A BLANK FOR COLUMNS FOR WHICH THERE IS NO RESULT.
Section 2 requires an officer of an ETC to certif
place to re-certify the continued eligibility of its
copies of signed certifications. and/or 2) that th
continued eligibility of its Lifeline subscribers by
were re-certified by a Lifeline administrator: or
income support for any Lifeline subscribers pric
1) that the ETC has procedures in
te subscribers, and that the ETC has
ias procedures in place to re-certify the
ting a database or that those subscribers
the ETC did not claim federal low
February of the current Form 555
ear" is the year covered by the
byear in which Form 555 is filed.
ual recertification be recorded.
C for each state in which they provide Lifeline
Column A: Report the number of Lifeline subscribers for which the ETC claimed Lifeline
support on its February FCC Form 497 for the current Form 555 calendar year (i.e., the FCC
Form 497 for the February data month) for the SAC or SACs listed. If the ETC has more than
one SAC in the state covered by this form, the combined total number of subscribers should be
entered in Column A. If the ETC did not claim support on its February FCC Form(s) 497, the
ETC should enter zero in Column A.
Column B: If the ETC is acting as a wholesaler and provides Lifeline service to
wireline resellers pursuant to section 251 (c)(4), report the number of such lines provided
to resellers. If the ETC does not provide service to wireline resellers, the ETC should
enter zero in Column B.
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FCC Form 555 - Filing Instructions
Column C: Report the number of Lifeline subscribers for which the ETC claimed Lifeline
support on its February FCC Form 497 for the current Form 555 calendar year that were
initially enrolled in Lifeline in that year. For example, for the 2013 Form 555 calendar year, if
the subscriber enrolled 500 subscribers in January 2013, and all 500 of those subscribers were
claimed on the 2013 February FCC Form 497, all 500 of these subscribers would be reported
in this column.
Recertification Results for Section 2:
An officer of the ETC must initial at least one of the
state, both Certification A and B may apply. An ET(
certification process in the chart corresponding to th
has initialed
Certification A: An officer of the ETC must
Columns D-I if the ETC verifies consumer c
by the consumer.
Certification B: An officer of the
Columns J-L if the ETC verifies
database, state Lifeline admini
use USAC to perform the recci
as a database or slate Lifeline
ongoing consumer eligibility
columns D-L. For example,
consumers who quaii
documentation of eligi
based on their income,
Depending on the
the results of its re-
e officer of the ETC
A in Section 2 and complete
ng documentation provided
J'C must initial Certification B in Section 2 and complete
isumer eligibility by relying on information provided by a
r or USAC in those instances where the ETC has elected to
ttion. (iVole that consumer documentation does not qual(j5'
nislratorj In the blank, provide the data source or sources
Data sources can include, for example, the name of a state
to confirm consumer eligibility or a state Lifeline
f consumer eligibility to the ETC. ETCs must also indicate
SNAP, SSD each source was used to verify consumer
of an1J1C that uses multiple methods of confirming
dd complete both Certification A and B and complete
C that uses a state database to verify eligibility of
iey receive benefits under the SNAP program, but reviews
Mded by consumers who qualify under other programs or
complete both Certification A and B in Section 2.
Certification C: An officer of the ETC must initial Certification C if the ETC did not claim
federal Low Income support for any Lifeline subscribers for FCC Form 497 data for the current Form
555 calendar year. The ETC officer must provide the current year in the space provided.
Column D: Report the number of Lifeline subscribers the ETC contacted directly to obtain
re-certification of eligibility. Enter zero if the ETC relied solely on methods other than direct
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contact with subscribers (e.g., consulting a state database or relying on a Lifeline
administrator) to re-certify eligibility.
Column E: Report the number of Lifeline subscribers that responded to the ETC' s request to
re-certify their eligibility for Lifeline. This number could be equal to the number in Column C
(if every subscriber contacted responded) or less than the number reported in Column C (if
not every subscriber contacted responded). Enter zero if the ETC relied solely on methods
other than direct contact with subscribers (e.g., consulting a state database or relying on a
Lifeline administrator) to re-certify eligibility
Column F: Report the number of subscribers who did not respon
certify eligibility. This number should equal the number reported
number reported in Column E. Enter zero if the ETC relied solely
direct contact with consumers (e.g., consulting a state database or
administrator) to re-certify eligibility.
Column G: Report the number of subscribers
they are no longer eligible. Do not include in Columr
to the ETC's contact. Enter zero if the ETC relied sol
with subscribers (e.g., consulting a state database or r
certify eligibility.
Column H: Report the number
enrolled. A subscriber that faih
Lifeline pursuant to 47 C.F.R. §
include the number of subscribc
eligibility, as reported in Colum
indicated that they are no longei
relied solely on methods other t
database or relying on a Lifelim
subs
10(f)(5). 1
w
to the ETC's request to re-
i Column D minus the
n methods other than
ëlving on a Lifeline
and indicated that
who failed to respond
thods other than direct contact
a Lifeline administrator) to re-
scheduled to be, de-
F eligibility must be de-enrolled from
ber reported in Column G should
who did not respond to the ETC's request to re-certify
, plus the number of subscribers who responded and
igible, as reported in Column F. Enter zero if the ETC
direct contact with subscribers (e.g., consulting a state
Iministrator) to re-certify eligibility.
Column I: Report the number of subscribers - of those contacted directly by the ETC in an
attempt to re-certify eligibility - who de-enrolled from Lifeline prior to the ETC's attempt to
re-certify continued eligibility. This number should include all subscribers who de-enrolled
for any reason, including those subscribers that discontinued Lifeline service with the ETC on
their own initiative and those that the ETC de-enrolled from Lifeline(for example, those de-
enrolled for non-usage). Enter zero if the ETC relied solely on methods other than direct
contact with subscribers (e.g., consulting a state database or relying on a Lifeline
administrator) to re-certify eligibility. ETCs should be careful not to double count these
subscribers in column L.
Column J: Report the number of consumers for which the ETC relied on a source other than
direct contact with the subscriber to confirm continued eligibility. An ETC can rely on a state
or national database to confirm a subscriber continued to be eligible for Lifeline. An ETC can
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FCC Form 555 - Filing Instructions
also rely on a Lifeline administrator to confirm consumer eligibility or on USAC in those
instances where the ETC has elected to utilize USAC to perform the recertification. An ETC
must report the number of subscribers for which it relied on either of these methods
(confirmation through database or Lifeline administrator) in Column J. ETCs electing to use
USA C to perform their recertification may not also attempt to recertify subscribers on their
own.1 If any of subscribers are subsequently contacted directly by the ETC in an attempt to
recertfy eligibility, those subscribers should be listed in columns D through I as appropriate
and not in column J. ETCs should be careful not to double count these subscribers. Enter zero
if the ETC relied solely on direct contact with subscribers to re-dertify eligibility
Column K: Report the number of subscribers found to be ineligible via confirmation through a
database, from a Lifeline administrator, that were dc-enrolled. or are scheduled to be de-
enrolled. That is, of the number of subscribers for which the ET€ Lifeline administrator
utilized a database to attempt to conflnn eligibility oi wcie detenrnned by USAC to be
ineligible, how many were found to be ineligible ft any of the e subscithers are subsequently
contacted directly by the ETC in an attempt 10 i c cci titv elzgibilzii' those subscribers should be
listed in columns D through las appi opi iate and not in column K ETCs should be careful not
to double count these subscribers. ETs electing to u.s'e USA C to perform t/id
recertification may not also attempt to recertif' subscribers on their own. Enter zero if the
ETC relied solely on direct contact with subscribers to re-certify eligibility.
Column L: Report the number of subscribers - of those for which the ETC attempted to verify
eligibility via a database or through a Lifeline administrator - who dc-enrolled from Lifeline
prior to the ETC's attempt to re-certify continued eligibility. This number should include all
subscribers who dc-enrolled for any reason, including those subscribers that discontinued
Lifeline service with the ETC on their own initiative and those that the ETC de-enrolled from
Lifeline for reasons unrelated to the re-certification process (for example, those de-enrolled for
non-usage). ETCs should be ccirc'/iiI not to double count these subscribers in column I. ETC's
electing to use USA C to pertórl,z their recertification may not also attempt to recertify
subscribers on their owmi. Enter zero if the ETC relied solely on direct contact with
Section 3: ALL ETES MUST COMPLETE SECTION 3. ETCs SHOULD ENTER ZERO
[NSTEAD OF A BLANK FOR COLUMNS FOR WHICH THERE IS NO RESULT
Section 3 requires the ETVcalculate the percentage of de-enrolled subscribers for the ETC
based on the recertification results entered in Columns A-L in Section 2.
Column M: Enter the number of subscribers claimed on February FCC Form(s) 497 for the
current calendar year. This number should match the number entered in Column A. If the ETC
entered zero in Column A, it should also enter zero in Column M.
See Wireline Competition Bureau Provides Guidance Regarding the 2013 Lifeline Recertification Process, Public
Notice, DA 13-1188 at4, n.23 (rel. May 22, 2013).
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Column N: Enter the number of subscribers de-enrolled or scheduled to be de-enrolled as a
result of non-response or ineligibility. This number should match the number entered in Column
H. If the ETC entered zero in Column H, it should also enter zero in Column N.
Column 0: Enter the number of customers de-enrolled or scheduled to be de-enrolled as a
result of a finding of ineligibility. This number should match the number entered in Column K.
If the ETC entered zero in Column K, it should also enter zero in Column 0.
Column P: Enter the total number of customers de-
adding Columns N and 0. If Columns N and 0 con
Column Q: Enter the percentage of subscribers
were claimed on the February FCC Form(s) 49,
multiplying the result by 100
Section 4: ALL ETCS MUST COMPLETE
COMPLETE ALL OF SECTION 4 .
Section 4 requires the ETC to selectj
provider If the ETC selects yes, the 1
customers de-enrolled asaresult of non
do not assess or collec
not use their Lifeline s
potential de-enrollmèn
fee from their Lifeline
non
fee
cornpl
diled or
viding Col
TB
duled to be de-enrolled by
enter zero in Colunm P.
Ito be de-enrolled that
by Column M and
BOX; PRE-PAII) ETCS MUST
the ETC is a pre-paid Lifeline service
)rt by month the number of Lifeline
T.F.R. i54.405(e)(3) reauires ETCs that
scribers to dc-enroll subscribers who do
usay period afier notice of
that donot assess or collect a monthly
ri4.
for non-usage by month.
Fields for the Form to be considered complete.
certifies that the company is in compliance with all federal Lifeline
Provide the signature of an officer of the ETC who is authorized to make the certifications
included in the Annual Lfèline Eligible Telecommunications Carrier Certification Form for
the SAC(s) listed on the Form.
Printed Name of Officer
Provide the name of the ETC officer who signed the Annual Lifeline Eligible
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Telecommunications Carrier Certfi cation Form.
Title of Officer
Provide the title of the ETC officer who signed the Annual Lifeline Eligible
Telecommunications Carrier CertJication Form.
Date
Provide the date the ETC officer signed the Annual Lfeline Eligible Telecommunications
Carrier CertUlcation Form.
The FCC is authorized under the communications Act of 1934, as amended, to collect the
information we request in this form. If we believe there may be a violation or a potential
violation of a FCC statute, regulation, rule or order, your certification may be referred to the
Federal, state or local agency responsible for investigating, prosecuting, enforcing, or
implementing the statute, rule, regulation, or order. In certain cases, the information in your
certification may be disclosed to the Department of Justice or a court or adjudicative body
when a) the FCC: or b) any employee of the FCC; or c) the United States Government is a
party of a proceeding before the body or has an interest in the proceeding.
We have estimated that t1ti1dilection of information will take 15 hours annually. Our
estimate includes the time read the instructions, look through existing records, gather and
maintain required data, and actually complete and review the form or response. If you have
any comments on this estimate, or on how we can improve the collection and reduce the
burden it causes you, please write the Federal Communications Commission, Office of
Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project
(3060-08 19). We will also accept your PRA comments if you send an e-mail to
PRA@fcc.gov.
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Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required
to respond to a collection of information sponsored by the Federal government, and the
government may not conduct or sponsor this collection, unless it displays a currently valid
0MB control number and/or we fail to provide you with this notice. This collection has been
assigned an 0MB control number of 3060-0819.
THIS NOTICE IS REQUIRED BY THE PRIVACY ACT OF 1974, PUBLIC LAW 93-
579, DECEMBER 31, 1974, 5 U.S.C. SECTION 552a(e)(3) AND THE PAPERWORK
REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1,1995,44 U.S.C.
SECTION 3507
8