Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0853 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 500 Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act Form
0853_Form500Inst_to OMB_040507.pdf Instruction
FCC Form 486 Instructions Updated August 2011.doc Instruction
FCC Form 479 Instructions (Updated 2011).doc Instruction
FCC Form 500 Universal Service for Schools and Libraries, Adjustment 0853_Form500_to OMB_040507.pdf Form
FCC Form 486 Universal Service for Schools and Libraries Receipt of S FCC Form 486 April 2007.doc Form
FCC Form 479 Schools and Librabies Universal Service Certification by FCC Form 479 (2007).doc Form

Information Collection (IC) Details

IC Title:	Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act	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 54.520

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 500	Universal Service for Schools and Libraries, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form	0853_Form500_to OMB_040507.pdf	Yes	Yes	Fillable Fileable Signable
Form	FCC Form 486	Universal Service for Schools and Libraries Receipt of Service Confirmation Form	FCC Form 486 April 2007.doc	Yes	Yes	Fillable Fileable Signable
Instruction			0853_Form500Inst_to OMB_040507.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 486 Instructions Updated August 2011.doc	Yes	Yes	Fillable Fileable Signable
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	FCC Form 479 (2007).doc	Yes	Yes	Fillable Fileable Signable
Instruction			FCC Form 479 Instructions (Updated 2011).doc	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	75,000	30,000	45,000
Annual IC Time Burden (Hours)	70,000	7,500	62,500
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.