Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private 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⚠️ Notice: This information collection may be referencing outdated material.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
Form FCC Form 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector Form
0806_FCC470Inst_090110.pdf Instruction
2013 FCC Form 471 Instructions OMB Draft 12.18.13.docx Instruction
0806_2015 FCC Form 470 instructions FINAL v2_091214.docx Instruction
FCC Form 470 Description of Services Requested and Certification 0806_FCC470_090110.pdf Form
FCC Form 471 Descripton of Services Ordered and Certification 0806_FCC471_090110.pdf Form
FCC 470 Description of Services Requested and Certification 0806_2015 FCC Form 470 FINAL_091214.docx Form

Information Collection (IC) Details

IC Title:	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

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 54.503(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 54.523 47 CFR 54.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 470	Description of Services Requested and Certification	0806_FCC470_090110.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			0806_FCC470Inst_090110.pdf	Yes	Yes	Printable Only
Form	FCC Form 471	Descripton of Services Ordered and Certification	0806_FCC471_090110.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			2013 FCC Form 471 Instructions OMB Draft 12.18.13.docx	Yes	Yes	Printable Only
Form	FCC 470	Description of Services Requested and Certification	0806_2015 FCC Form 470 FINAL_091214.docx	Yes	Yes	Fillable Fileable Signable
Instruction			0806_2015 FCC Form 470 instructions FINAL v2_091214.docx	Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	-76,000	82,000
Annual IC Time Burden (Hours)	21,000	-313,000	334,000
Annual IC Cost Burden (Dollars)	0	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.