Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Privacy Sector

Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0806 can be found here:

Documents and Forms

Document Name Document Type
0806_2015 FCC Form 471 Instructions FINAL v3_091214.docx Instruction
FCC 471 Services Ordered and Certification 0806_2015 FCC Form 471 FINAL_091214.doc Form

Information Collection (IC) Details

IC Title:	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Privacy Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.500(a) - (r) 47 CFR 54.501(a) - (c) 47 CFR 54.502(a) - (d) 47 CFR 54.523 47 CFR 54.503(a) - (e) 47 CFR 54.504(a) - (f) 47 CFR 54.505(a) - (f) 47 CFR 54.507(b) - (f) 47 CFR 54.509(a) 47 CFR 54.511(a) 47 CFR 54.516 47 CFR 54.519 47 CFR 54.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			0806_2015 FCC Form 471 Instructions FINAL v3_091214.docx		Yes	Yes	Printable Only
Form	FCC 471	Services Ordered and Certification	0806_2015 FCC Form 471 FINAL_091214.doc		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	40,500	40,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.