Certification by Administrative Authority to Billed Entity Compliance with the Children's Internet Protection Act; Receipt of Service Confirmation; and Modification to Receipt of Service Confirmation

Forms and Documents

Document Name	Status
Form FCC Form 479 FCC Forms 479, 486 and 500 Form	Modified
0853_ss_NPRM2_FINAL_060910.doc Supporting Statement A	2010-06-09

IC Document Collections

IC ID	Document Title	Status
31206	FCC Forms 479, 486 and 500 Form	Modified

ICR Details

OMB Control No: 3060-0853	ICR Reference No: 201005-3060-012
Status: Historical Inactive	Previous ICR Reference No: 200702-3060-013
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Certification by Administrative Authority to Billed Entity Compliance with the Children's Internet Protection Act; Receipt of Service Confirmation; and Modification to Receipt of Service Confirmation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 08/17/2010
	Date Received in OIRA: 06/09/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2013	36 Months From Approved	10/31/2010
Responses	45,300	0	45,000
Time Burden (Hours)	63,720	0	62,500
Cost Burden (Dollars)	0	0	0

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Abstract: The Commission is submitting this NPRM FCC 10-83 in which they are revising the FCC Form 500 and to add or corrects the burden to the Internet safety policy requirement burden (pre-approved in a NPRM in March 2010). This IC consists of three FCC forms (FCC Forms 479, 486, and 500) serve the functions of the Universal Service Schools and Libraries Support Mechanism (47 U.S.C. Section 254, et seq.). They are used at the point where services provided pursuant to the Program are implemented; or about to be implemented and are a necessary prerequisite to the distribution of payments under the Program. The forms ensure that congressional mandates regarding access to the Internet by minors are met.

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Authorizing Statute(s): US Code: 47 USC 254 Name of Law: Children's Internet Protection Act (CIPA)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AF85	Proposed rulemaking	75 FR 32699	06/09/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FCC Forms 479, 486 and 500	FCC Form 486, FCC Form 479, FCC Form 500, FCC Form 479, FCC Form 486, FCC Form 500	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act ,   Schools and Libraries Universal Service Receipt of Service Confirmation Form ,   Universal Service for Schools and Libraries, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form ,   Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act ,   Receipt of Service Confirmaiton Form ,   Admustment to Funding Commitment and Modification to Receipt of Service Confirmation Form

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ICR Summary of Burden

	Total Request	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	45,300	45,000	0	300	0	0
Annual Time Burden (Hours)	63,720	62,500	0	1,220	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission has revised FCC Form 500 in a Notice of Proposed Rulemaking, FCC 10-83 (75 FR 32699) which would require a school or library disposing of equipment to report the following to USAC: 1) the applicant's name, entity number, address and telephone number; 2) the name, address, telephone number, and email address of the applicant's authorized point of contact; 3) the date of the disposal of obsolete equipment; 4) the name of each piece of equipment disposed of, including the date of purchase and the funding request number(s) associated with the disposed equipment; 5) any payment, trade-in value, or other consideration received for such disposal of equipment; 6) the name of te entity that paid or otherwise gave the applicant valuable consideration for the equipment; 7) formal declaration by the school board or other authorized body or individual that the equipment subject to disposal is surplus; and 8) certify that the information provided on the FCC Form 500 is true and accurate to the best of the applicant's knowledge, evidenced by the signature of someone authorized to so certify by the applicant and the date.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/09/2010

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