20220131CenturyTel of Idaho Form 555.pdf

LUMEN-
January 31,2022
Via Email Submission
s e c r e ta r1@1t u c. i d a h o. g o v
Ms. Jan Noriyuki, Secretary
Idaho Public Utilities Commission
11331 W. ChindenBlvd., Bldg.8, Ste.20l-A
Boise, ID 83714
Docket No. GNR-T-22-01
CenturyTel of Idaho dba CenturyLink -2021Lifeline Re-
Certification Results Reported to the FCC and USAC
Dear Ms. Noriyuki:
Pursuant to the Federal Communications Commission's Report and Ordert requiring
eligible telecommunications carriers to re-certi$ the eligibility of their Lifeline subscribers and
to report the results to the Federal Communications Commission, Universal Service
Administrative Company and to state commission and Tribal governments, CenturyTel of Idaho
dba CenturyLink hereby submits its202l Lifeline re-certification results for the state of Idaho.
Please note that the results are provided separately for each FCC study area. [n addition,
the numbers being reported this year are mostly zero as we are no longer handling the
verifications and recertifications. The Lifeline National Eligibility Verifier (National Verifier)
has taken over these functions for all states except the Opt-out-states of Oregon and Texas. Per
USAC's instructions, we are still completing and filing the Form 555 reports; only we are filling
them in with zeros where the National Verifier has taken over.
Please do not hesitate to contact me at [phone] or via e-mail at
[e-mail] should you have any questions regarding this filing.
Sincerely,
lsl Timothy D. Kunkleman
Timothy D. Kunkleman
Director, Government Affairs
TDIVjga
Attachments
In the Matter of Lifeline and Link Up Reform and Modemization, Lifeline and Link Up, Federal-State Joint
Board on Universal Service, Advancing Broadband Availability Through Digital Literacy Training, Report and
Order and Further Notice of Rulemaking,2T FCC Rcd 6656, 6715-l6nl32 (2012);47 C.F.R. $ 54.416. Also
see Public Notice, 28 FCC Plcd 12947 (2013).
Re:
931 14r'Street
Denver, CO 80202
303-992-581 0
[e-mail]
Annual Lifeline Eligible Telecommunications Carrier Certification F'om All carriers must complete all or portions
of all sections Form must be submitted to USAC and filed with the Federal Communications Commission
IMPORTANT: PLEASE READ INSTRUCTIONS FIRST
Deadline: January 31* (Annually)
Does the reporting company have affiliated ETCs? Yes E[ No E[
Provide a list of all ETCs that are afiliated with the reporting ETC, using page 4 and additional sheets if necessary. Afiliation shall be
determined in accordance with Section 3(2) ofthe Communications Act. That Section de/ines "afiiliate" as "a person that (directly or indirectly)
owns or controls, is owned or cor*olled by, or is under common ownership or control with, anolher person." 47 U.S.C. S 153(2). See also 47
c.f'.R. $ 76.1200.
Affiliated ETC's SAC Affiliated ETC's Name
472225 143002517
Study Area Code (SAC) Service Provider ldentification Number (SPIN)
(An Eligible Telecommunications Carrier @TC) must provide a certificationformfor each SAC through which it provides Ldeline service).
2021 ID CenturyLink CenturyTel of ldaho lnc.
Recertification Year
N/A
State ETCName
CenturyLink lnc.
DBA, Marketing, or Other Branding Name
(If same as ETC name, list 'N/A" Do not leave blank)
Holding CompanyName
(lf same as ETC name, list "N/A" Do rct leave blank)
1
ETCs Subject to the Non-Usage Requirements
All ETCs must complete the approprtatu check-box. ETCs that do not assess and collect a monthlyfeefrom their Lifeline subscribers are subject
b rte non-usage requirements. ETCs subject to the non-usage requirements must indicate the number ofsubscribers de-enrolled by month tn
Section 4. ETCs that only assess afee but do not collect suchfees are subject to the non-usage requirements and must also indicate the number of
subscribers de-enrolled by month.
Is the ETC subject to the non-usage requirements? yes E[ No E[
If yes, record the number of subscribers de-enrolled for non-usage by month in Block Q below.
P o
Month Subscribers De-Enrolled for Non-Usase
January 0
February 0
March 0
April 0
May 0
June 0
July 0
Auzust 0
September 0
October 0
November 0
December 0
Total Subscribers 0
For purposes of this filing, an officer is an occupant of a position listed in the article of incorporation, articles of formation,
or other similar legal document. An officer is a person who occupies a position specified in the corporate byJaws (or
parhership agreement), and would typically be president, vice president for operations, vice president for finance,
comptroller, fieasurer, or a comparable position. If the filer is a sole proprietorship, the owner must sign the certification.
Initial Certificatioll All ETCs must complete this section
I certiff that the company listed above has certification procedures in place 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; and/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 offrcer of the company named above. I am authorized to make this certification for the Study Area Code listed
above.
AGInitial
2
Annual Recertification
Do not leave empty blocks. Ifan ETC has nothing to report in a block, enter a zero.
Report the number of Lifeline subscribers due for recertification by month (January-December)
A. Subscribers eligible for recertification by anniversary monthB. Subscribers de-enrolledpriorto recertification attemptsC. Total number of subscribers ETC is responsible for recertiSing (A-B)
Recertilication Methods
Stete of federal detabeseD. Subscribers recertified through ETC access to state or federal database by anniversary month
the number of
E. Name of the data sourc{s) used to verifu consumer eligibility:
ETC Direct ContactF. Subscribers contacted by ETC directly to receftiry (You may also use this section to report subscriber initiatod recertifications).
the number of Lifeline
G. Subscribers who failed to recertiry through ETC direct outreach attempt
of Lifeline due to
3
Jan Feb Mrr Apr May Jun JUI Aug sep Oct Nov Dec Yerr
Total
A.0 0 0 0 0 0 0 0 0 0 0 0 0
B.0 0 0 0 0 0 0 0 0 0 0 0 0
c.0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mer Apr Mey Jun Jul Aug sep Oct Nov Dec Year
Total
D.0 0 0 0 0 0 0 0 0 0 0 0 0
Jen Feb Mar Apr Mey Jun Jul Aug sep Oct Nov Dec Yeer
Totel
F 0 0 0 0 0 0 0 0 0 0000
Jan Feb Mer Apr May Jun Jul Aug sep Oct Nov Dec Year
Total
G.0 0 0 0 0 0 0 0 0 0 0 0 0
H. Subscribers who recertified through ETC direct outreach atteinpt
the ETC
Third Party
I. Subscribers whose eligibility was reviewed by state administrator, third party administrator, or USAC
the number of Lifeline subecribers contacted a state rhtd oTUSAC forthe of recertifcatim.
J. Name of third party administrator used to veriS subscriber eligibility:
K. Subscribers de-enrolled as a result ofa third party recertification attempt
the number of subscnibers as a rcsult of or to outreach from a state lhird orUSAC.
L. Subscribers who recertified thrcugh a state administrator, third party administrator, or USAC's recertification effort
the number ofsubscribers that recertified a from a strte rhtud oTUSAC
Certilication:
Recertilication Method: Database
I certiff that the company listed above has procedures in place to recertiff consumer eligibility by rellng on a database. I
am an omcer of the company named above. I am authorized to make this certification for the SAC(s) listed above.
Initiat
Year
Totel
Jrn Feb Mar Apr May Jun JUI Aug sep Oct Nov Dec
H.0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr May Jun JUI Aug sep Oct Nov Dec Year
Totel
I.0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr Mey Jun Jul Aug sep Oct Nov Dec Yeor
Totel
K.0 0 0 0 0 0 0 0 0 0 0 0 0
Jan Feb Mar Apr Mey Jun Jul Aug sep Oct Nov Dec Year
Totel
L.0 0 0 0 0 0 0 0 0 0 0 0 0
4
Recertification Method: ETC
I certiff that the company listed above has procedures in place to recertiff the continued eligibility of all of its Lifeline
subscribers, and that, to the best of my knowledge, the company obtained signed certifications from all subscribers attesting
to their continuing eligibility for Lifeline. I am an officer of the company named above. I am authoriz,ed to make this
certification for the SAC(s) listed above.
Initial
Recertification Method: Third Party
I certiff that the company listed above has procedures in place to recertiff consumer eligibility by relying on an
administrator. I am an officer of the company named above. I am authorized to make this certification for the SAC(s)
listed above.
Initial
No Subscribers
I certiff that my company did not claim federal low income support for any Lifeline subscribers for the current Fonn 555
data year. I am an officer of the company named above. I am authorized to make this certification for the SAC listed
above.
Initiel AG
Signature Block
By signing below, I certiff 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 Code (SAC) listed above.
Signed,
Andrea Genschaw SVP Controller Andrea Genschaw, SVP Controll
Signature of Officer
ANDREA.GENSCHAW@LU MEN
Email Address of Officer
Heather Malone
Person Coryleting This Certification Form
Printed Namo and Title of Officer
Jan 31,2022
Date
3183306/,42
Contact Phone Number
y=(a+K)N = 0D+F+r)O: M/l\*Ifi)
Total number of subscribers de-enrolled as
a result of recertification
Total number of subscrlbers ETC ls
responslble for recerd$ing
Percent ofsubscribers due for
recertifcadon who were deenrolled
0 0 0.0%
5
Affiliated ETCs
SAC Name
472223 CenturyLink CenturyTel of the Gem State (Nevada)
475103 Centurvlink Qwest Comoration
475162 Centurvlink Qwest Corporation
5