Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

Forms and Documents

Document Name	Status
Form FCC Form 472 Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms Form	Modified
0856_SS_060513.doc Supporting Statement A	2013-06-06

IC Document Collections

IC ID	Document Title	Status
31231	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms Form	Modified
191854	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Modified

ICR Details

OMB Control No: 3060-0856	ICR Reference No: 201301-3060-032
Status: Historical Active	Previous ICR Reference No: 201001-3060-011
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2013
	Date Received in OIRA: 06/06/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2016	36 Months From Approved	07/31/2013
Responses	158,165	0	97,100
Time Burden (Hours)	158,165	0	143,150
Cost Burden (Dollars)	0	0	0

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Abstract: The Telecommunications Act of 1996 contemplates that discounts on eligible services shall be provided to schools and libraries, and that service providers shall seek reimbursement to the amount of the discounts. FCC Forms 473 and 474 facilitate the reimbursement process. FCC Form 472 allows providers to confirm that they are actually providing the discounted services to eligible entities.

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Authorizing Statute(s): US Code: 47 USC 1 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 4(i), 4(j) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201-205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 312(d), 312(f) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 503(b) Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 8527	02/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 34096	06/06/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	FCC Form 472, FCC Form 473, FCC Form 474	Billed Entitiy Applicant Reimbursement Form ,   Universal Service for Schools and Libraries - Service Provider Annual Certification Form ,   Schools and Libraries Universal Service - Service Provider Invoice
Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

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ICR Summary 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	158,165	97,100	0	0	61,065	0
Annual Time Burden (Hours)	158,165	143,150	0	0	15,015	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The Commission made changes to FCC Forms 472, 473, and 474 and their associated instructions to ensure consistency with the FCC's rules and improve the clarity of the instructions. This revision also updates the respondent estimates and burden hours for the FCC Forms 472, 473 and 474 to reflect more accurate information recently obtained from USAC regarding participationn in the E-rate program. The burden increase of 15,015 hours is due to more entities applying for discounts for eligible services.

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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]? 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

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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: 06/06/2013

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