Page 1 (100) Service Quality Improvement Reporting FCC Form 481 Data Collection Form OMB Control No. 3060-0986 OMB Control No. 3060-0819 July 2013 <010> <015> <020> <030> <035> <039> <110> Has your company received its ETC certification from the FCC? (yes / no ) <111> If your answer to Line <110> is yes, do you have an existing §54.202(a) "5 year plan" filed with the FCC? (yes / no ) If your answer to Line <111> is yes, then you are required to file a progress report, on line <112> delineating the status of your company's existing § 54.202(a) "5 year plan" on file with the FCC, as it relates to your provision of voice telephony service. <112> Please check these boxes below to confirm that the attached PDF, on line 112, contains a progress report on its five-year service quality improvement plan pursuant to § 54.202(a). The information shall be submitted at the wire center level or census block as appropriate. <113> Maps detailing progress towards meeting plan targets <114> Report how much universal service (USF) support was received <115> How (USF) was used to improve service quality <116> How (USF)was used to improve service coverage <117> How (USF) was used to improve service capacity <118> Provide an explanation of network improvement targets not met in the prior calendar year. Study Area Code Study Area Name Program Year Contact Name - Person USAC should contact regarding this data Contact Telephone Number - Number of person identified in data line <030> Name of Attached Document (.pdf) Contact Email Address - Email Address of person identified in data line <030> Attach Five-Year Service Quality Improvement Plan or, in subsequent years, your annual progress report filed pursuant to 47 C.F.R. § 54.313(a)(1). If your company is a CETC which receives only frozen support, your progress report is only required to address voice telephony service Page 1