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FCC FORM 498 Approval by OMB 3060-0824 Instructions for Completing the Service Provider Identification Number and Contact Information Form FCC Form 498 is used to collect contact, remittance, and
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The form also allows recipients to indicate how they wish to be identified in communications with their providers. The FCC uses the information from the Form 498 to compile an annual database (FCC Form 495), which provides a standardized format for supporting service providers in connection with their FCC Universal Service Support Mechanisms. Service providers can use this data to assess the support they receive from their providers and to determine where improvements can be offered. It is not necessary for a service provider to identify itself as a recipient for a specific payment or support mechanism in order to receive support from the Universal Service Support Mechanism provider. A service provider (or its authorized representative) must complete an Authorization Form for each type of support the provider will receive or to enable the Universal Service Support Mechanism to identify the individual (or payer) responsible for covering the support. It is the service provider's responsibility to maintain the accuracy of its Form 498 and Authorization Forms. Service providers who are unable to obtain the form at any time need to notify the FCC office where they usually file these forms. The Office of the Chief Counsel (OCC, formerly known as the Chief Data Officer, now known as the Chief Information Officer) of each FCC Regional Office administers the form. The Form 498 must be forwarded to a service provider by mail and can also be requested when the service provider's records need to be updated or completed. FCC 498 Forms: Form 498-A (original) 25.00 25.00 Form 498-B (revamped or revised) 25.00 32.50 Form 498-D 17.00 16.00 FCC Form 498-I (original) 15.00 15.00 FTC 15.00 15.00 Form 498-J 15.00 15.00 FCC Form 5075A (original) 11.50 1.50 Form 5075B (revamped or revoked) 13.00 14.00 FCC Form 5075C (original) 15.00 15.00 Form 5075D (revamped or revoked) 25.00 32.50 FCC Form 5075E (original) 9.00 7.00 Form 5075F (revamped or revoked) 18.

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