The URL can be used to link to this page

Home My WebLink About20130201FCC Form 555 Inland Telephone Company.pdfINLAND TELEPHONE COMPANY Corporate Offices ! (!,AJR-T-13-01 January 31, 2013 Idaho Public Utilities Commission Commission Secretary 472 W. Washington P.O. Box 83720 Boise, ID 83720-0074 Re; Pursuant to IPUC Order No. GNR-T-13-01 2013 Federal Lifeline Certification and Reporting Pursuant to 47 C.F.R. § 54.416(b) Dear Commission Secretary: Pursuant to 47 C.F.R. § 54.416(b), accompanying this letter for filing with the Idaho Public Utilities Commission ("Commission") is a copy of the completed FCC Form 555 ("Annual Lifeline Eligible Telecommunications Carrier Certification Form"), for the reporting year ended December 31, 2012, that has been submitted by Inland Telephone Company ("Company") (SAC 472423) to the Universal Service Administrative Company (USAC) with respect to the Company's Lifeline service subscribers residing in the State of Idaho. Please let us know if the Commission has any questions regarding the information presented on the accompanying form. 'James K. Brooks 'Treasurer/ Controller Accompanying document Approved by OMB 3060-0819 FCC Form 555 November 2012 Annual Lifeline Eligible Telecommunications Carrier Certification Form All carriers must complete Sections 1, 2, and 3. Carriers must complete Section 4, if applicable. Deadline: January 31Annually Idaho State An Eligible Telecommunications carrier ('ETC) must provide a cerlj/Icationformfor each state in which it provides Lifeline service). 472423 Inland Telephone Company Study Area Code(s) (SAC) ETC Name(s) Western Elite Incorporated Services Inland Networks Holding Company Name(s) DBA, Marketing or Other Branding Name(s) Affiliated ETCs (Include names and SACs attach additional sheets jf necessary) Additional Sheet Attached Section 1: All ETcs Initial the ceri j/1cation that applies to your ETC. Depending on the state, both certifications may apply). I certify that the company listed above has certification procedures in place to review income and program-based eligibility documentation prior to enrolling a customer 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. I am an officer ofompany named above. I am authorized to make this certification for the Study Area(s) listed above Initial AND/OR nd/or notice of eligibilityfrom the state Lifeline administrator and indicate for SNAP, 551) these sources are used to ver/j.' consumer eligibility). I am an ove I am authorized to make this certification for the Study Area(s) listed Notice of eligibility is received via email from the Community Action Partnership Association (CAPA) of Idaho Approved by 0MB 3060-0819 FCC Form 555 November 2012 Section 2: All ETCs(Initial the certification that applies to your ETC, and fapplicable, complete columns A through L the tables below. Attach additional sheets fnecessa,y. I certify that the company listed above has procedures in place to re-certify the continued eligibility of all of it vided in the chart below. I am an officer I for the Study Area(s) listed above. Subscribers ClaImed on May FCC Form(s) 497 Wireline Resellers C D E=C-D F G=(E+F) H Number of Subscribers ETC Contacted Directly to Recertify Eligibility Through Attestation Number of Subscribers Responding to ETC Contact Number of Non- Responding Subscribers Number of Subscribers Responding That They Are No Longer Eligible Number of Subscribers Dc- Enrolled or Scheduled to be Dc-Enrolled as a Result of Non- Number of Subscribers Who Do-Enrolled Prior to Recertification Attempt Response or Ineligibility I J K L Number of Number of Customers Dc- Number of Subscribers Who Dc-Enrolled Number of Subscribers Subscribers Whose enrolled or Scheduled to be Dc- Prior to Recertification Attempt Whose Eligibility was Eligibility Was Enrolled as a Result of Finding Reviewed By State Examined by State of Ineligibility Administrator or By AdmInistrator or By ETC Access to Eligibility ETC Access to Data Eligibility Data and Found to be I Ineligible 1 5 0 0 7 Approved by OMB 3060-0819 FCC Form 555 November 2012 OR I certify that my company did not claim federal Low Income support for any Lifeline customers prior to June (insert current 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 Section 3: Al.! ETCs (Initial the certification 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. Initial/1W he ETC does not assess or collect amonthlyfee de-enrolledfor non-usage by month in column N Approved by 0MB 3060-0819 FCC Form 555 November 2012 ETC Identification SAC ETC Name 472423 inland Telephone Company 522423 Inland Telephone Company 470007 Washington RSA No 7 8 Limited Partnership 529003 Washington RSA No.8 Limited Partnership 529004 Eastern Sub-RSA IJmited Partnership DBA, Marketing or Other Branding Namels SAC Name 472423 Inland Networks 522423 Intend Networks 479007 Inland Cellular 529003 Inland Cellular 529004 Inland Cellular