Compliance with the Children's Internet Protection Act; Receipt of Service Confirmation Form; and Funding Commitment Change Request Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC Form 479 Schools and Librabies Universal Service Certification by Administrative Authority to Billed Entitiy of Compliance with the Children's Internet Protection Act	Form	Modified	Available
Form FCC Form 486 Universal Service for Schools and Libraries Receipt of Service Confirmation Form	Form	Modified	Available
Form FCC Form 500 Universal Service for Schools and Libraries, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form	Form	Modified	Available
Supporting Statement OMB 3060-0853 (2011).doc	Supporting Statement A	Uploaded 2011-08-25	Available
Nonsubstantive change request for 3060-0853 (2011).doc	Justification for No Material/Nonsubstantive Change	Uploaded 2011-08-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31206	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act	Form	Modified	Schools and Librabies Universal Service Certification by Administrative Authority to Billed Entitiy of Compliance with the Children's Internet Protection Act
31206	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act	Form	Modified	Universal Service for Schools and Libraries Receipt of Service Confirmation Form
31206	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act	Instruction	Modified
31206	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act	Form	Modified	Universal Service for Schools and Libraries, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form

ICR Details

OMB Control No: 3060-0853	ICR Reference No: 201108-3060-021
Status: Historical Active	Previous ICR Reference No: 201006-3060-002
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Compliance with the Children's Internet Protection Act; Receipt of Service Confirmation Form; and Funding Commitment Change Request Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/30/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/25/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	10/31/2013	10/31/2013
Responses	75,000	0	45,000
Time Burden (Hours)	70,000	0	62,500
Cost Burden (Dollars)	0	0	0

---

Abstract: The 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. The Federal Communication Commission is seeking a non-substantive change request for information collection 3060-0853. The Commission received preapproval from the Office of Management and Budget (OMB) for the information collection requirements that were contained in FCC 09-96 on March 25, 2010. The Commission adopted the requirements as proposed in FCC 11-125 on August 10, 2011. The Commission is now submitting this change request to activate the burden hours of 7,500 hours into OMB's inventory and also to provide OMB with updated copies of the instructions for FCC Forms 479 and 486. FCC Form 500 was not impacted by this submission to OMB.

---

Authorizing Statute(s): US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 106 - 554 215 Name of Law: Children's Internet Protection Act (CIPA)

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 34738	06/18/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 52004	08/24/2010
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list of burden

	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	75,000	45,000	0	30,000	0	0
Annual Time Burden (Hours)	70,000	62,500	0	7,500	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 program changes/increases of 30,000 to the number of respondents, 30,000 to the annual number of responses and 7,500 hours to the annual burden hours which are due to the adoption of the information collection requirements contained in FCC 11-125.

---

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]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 08/25/2011

---