Receipt of Service Confirmation Form and Adjustment of Funding Commitment and Modification to Receipt of Service Confirmation Form - Universal Service for Schools and Libraries

ICR 200004-3060-016

OMB: 3060-0853

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3060-0853 200004-3060-016
Historical Active 199903-3060-005
FCC
Receipt of Service Confirmation Form and Adjustment of Funding Commitment and Modification to Receipt of Service Confirmation Form - Universal Service for Schools and Libraries
Revision of a currently approved collection   No
Emergency 05/05/2000
Approved without change 05/08/2000
Retrieve Notice of Action (NOA) 04/28/2000
Approval is contingent upon modifying the privacy statement on the form to make it clear that debt collection will be from schools and libraries and not from individuals, or removing that portion of the statement.
  Inventory as of this Action Requested Previously Approved
12/31/2000 12/31/2000 05/31/2002
40,000 0 30,000
45,000 0 45,000
0 0 0

The Commission adopted rules providing support for all telecommunications services, Internet access, and internal connections for all eligible schools and libraries. To participate in the program schools and libraries must confirm that they are actually receiving the services eligible for support via FCC Form 486, FCC Form 500 is used to adjust funding commitments and/or modify the dates for receipt of services.

None
None


No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40,000 30,000 0 10,000 0 0
Annual Time Burden (Hours) 45,000 45,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/28/2000


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